Orthotic & Prosthetic Center of Charleston – Prosthetic/Orthotic Supplier, NPI 1184119976
Prosthetic/Orthotic Supplier
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Orthotic & Prosthetic Center of Charleston
5th Avenue North, Saint Petersburg, Pinellas County, Florida, 33701, United States
SAINT PETERSBURG, FL 337137503
Phone: (727) 327-3332
Type: Mailing
University Boulevard, North Charleston, Charleston County, South Carolina, 29406, United States
NORTH CHARLESTON, SC 294069349
Phone: (843) 531-9990
Fax: (843) 804-4811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (958 days ago).
Enrollment records
1
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180921001966 | O | Medical Supply Company With Orthotic-Prosthetic | SC | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33713)
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