SIERRA ORTHOPEDIC LABORATORY, INC.
NPI 1417578121
Prosthetic/Orthotic Supplier in Petaluma, CA
About Sierra Orthopedic Laboratory, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIERRA ORTHOPEDIC LABORATORY, INC. (NPI 1417578121) is a healthcare organization registered as a prosthetic/orthotic supplier in Petaluma, California and active in the NPI registry since May 2020. The organization lists David John Jeffries, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sierra Orthopedic Laboratory, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Medical Equipment Supplier Medicare DMEPOS 6
Medicare supplier enrollment and the product categories Sierra Orthopedic Laboratory, Inc. carries, from the Medicare DMEPOS supplier directory.
Sierra Orthopedic Laboratory, Inc.
DMEPOS supplier · Petaluma, CAAccepts Medicare assignment
Sierra Orthopedic Laboratory, Inc. agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sierra Orthopedic Laboratory, Inc.'s NPI number?
The NPI number for Sierra Orthopedic Laboratory, Inc. is 1417578121. It was assigned to this organization in the NPPES registry on May 4, 2020.
Where is Sierra Orthopedic Laboratory, Inc. located?
Sierra Orthopedic Laboratory, Inc. is located at 157 Lynch Creek Way, Petaluma, CA 94954. The listed phone number is (707) 528-9808.
What is Sierra Orthopedic Laboratory, Inc.'s specialty?
The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
Is Sierra Orthopedic Laboratory, Inc. enrolled in Medicare?
Yes. Sierra Orthopedic Laboratory, Inc. is registered in the Medicare PECOS enrollment system.
When is Sierra Orthopedic Laboratory, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Medical Supply Company with Orthotic-Prosthetic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Sierra Orthopedic Laboratory, Inc. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Sierra Orthopedic Laboratory, Inc. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for Sierra Orthopedic Laboratory, Inc. was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sierra Orthopedic Laboratory, Inc. · NPI 1417578121
Prosthetic/Orthotic Supplier organization in Petaluma, California. Organization record, active in the CMS NPPES registry since May 4, 2020.
## Identity
- **NPI:** 1417578121 (Entity type: Organization)
- **Enumerated:** May 4, 2020
- **Primary specialty:** Prosthetic/Orthotic Supplier · taxonomy 335E00000X
- **Organization subpart:** Yes (part of Sierra Orthopedic Laboratory, Inc.)
- **Authorized official:** David Jeffries, OWNER
## Practice location
- **Address:** 157 LYNCH CREEK WAY, Petaluma, CA 94954-2342
- **Phone:** (707) 528-9808 · **Fax:** (707) 528-9818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, California, Medical Supply Company with Orthotic-Prosthetic) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1417578121) · Data from the CMS NPPES public registry.