IDAHO PROSTHETICS & ORTHOTICS, INC.
NPI 1952433971
Prosthetic/Orthotic Supplier in Pocatello, ID

NPI Status: Active since March 12, 2007

Contact Information

333 N 18TH AVE STE B4
POCATELLO, ID
ZIP 83201
Phone: (208) 478-8000
Fax: (208) 478-8801

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About IDAHO PROSTHETICS & ORTHOTICS, INC.

This page provides the complete NPI Profile along with additional information for Idaho Prosthetics & Orthotics, Inc., a provider established in Pocatello, Idaho operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1952433971 assigned on March 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Annette Wright (Office Manager)

NPI
1952433971
Provider Name
IDAHO PROSTHETICS & ORTHOTICS, INC.
Entity Type
Organization
Location Address
333 N 18TH AVE STE B4 POCATELLO, ID 83201
Location Phone
(208) 478-8000
Location Fax
(208) 478-8801
Mailing Address
333 N 18TH AVE STE B4 POCATELLO, ID 83201
Mailing Phone
(208) 478-8000
Mailing Fax
(208) 478-8801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
Last Update Date
03-03-2020
Code Navigator



Idaho Prosthetics & Orthotics, Inc. is a medicare supplier with PTAN 20649689 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License State
ID
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNETTE WRIGHT

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(208) 478-8800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
805166100MEDICAID (05)ID 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20649689
Accepts Medicare Assignment
YES
Specialities List
MSC With Orthotic Personnel, MSC With Prosthetic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • 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
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1952433971, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 0 + 2 + 8 + 3 + 6 + 9 + 1 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1952433971.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
333 N 18TH AVE STE B4
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952433971, enumerated as an "organization" on March 12, 2007.

The provider is located at 333 N 18TH AVE STE B4 POCATELLO, ID 83201 and the phone number is (208) 478-8000.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.