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GREAT LAKES ORTHOTICS & PROSTHETICS INC.
NPI 1720023724
Prosthetic/Orthotic Supplier in Appleton, WI

Active since June 17, 2006
3950 EVERGREEN CT STE A, APPLETON, WI 54913(920) 968-2240(920) 968-2241 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2021, Dec 3, 2018 (2 updates tracked since 2018).

About Great Lakes Orthotics & Prosthetics Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES ORTHOTICS & PROSTHETICS INC. (NPI 1720023724) is a healthcare organization registered as a prosthetic/orthotic supplier in Appleton, Wisconsin and active in the NPI registry since June 2006. The organization lists Perry L Alger, President, as its authorized official.

NPPES Registry Identity

NPI1720023724
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameGREAT LAKES ORTHOTICS & PROSTHETICS INC.
Location Address3950 EVERGREEN CT STE AAppleton, WI 54913-8903
Mailing Address3950 Evergreen Ct Ste AAppleton, WI 54913-8903 · (920) 968-2240 · Fax (920) 968-2241
Phone(920) 968-2240
Fax(920) 968-2241
Organization SubpartNo
Authorized OfficialPerry L AlgerPresident · (920) 968-2240
Enumeration DateJune 17, 2006
Last NPPES UpdateJune 9, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1720023724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
3950 EVERGREEN CT STE A, Appleton, WI 54913
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Other Identifiers 1

Medicaid41792000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Great Lakes Orthotics & Prosthetics carries, from the Medicare DMEPOS supplier directory.

Great Lakes Orthotics & Prosthetics

DMEPOS supplier · Appleton, WIOperated by Great Lakes Orthotics & Prosthetics Inc.
✔

Accepts Medicare assignment

Great Lakes Orthotics & Prosthetics 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.

PTAN (Medicare Supplier Number)20573471
Medicare Participant SinceJune 26, 2006
Supplier Location3950 Evergreen Ct Ste AAppleton, WI 54913
Phone(920) 968-2240
Supplier Specialties
Orthotic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Great Lakes Orthotics & Prosthetics Inc.'s NPI number?

The NPI number for Great Lakes Orthotics & Prosthetics Inc. is 1720023724. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Great Lakes Orthotics & Prosthetics Inc. located?

Great Lakes Orthotics & Prosthetics Inc. is located at 3950 Evergreen Ct Ste A, Appleton, WI 54913. The listed phone number is (920) 968-2240.

What is Great Lakes Orthotics & Prosthetics Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Great Lakes Orthotics & Prosthetics Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Great Lakes Orthotics & Prosthetics accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Great Lakes Orthotics & Prosthetics Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Security Health Plan and 1 other insurer list Great Lakes Orthotics & Prosthetics Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Orthotics & Prosthetics Inc. was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.