ORTHOCARE ORTHOTICS AND PROSTHETICS INC – Prosthetic/Orthotic Supplier, NPI 1407961618

ORTHOCARE ORTHOTICS AND PROSTHETICS INC is a healthcare provider. based in Leesburg, Florida. specializing in Prosthetic/Orthotic Supplier. The organization holds a License No. PRO91 (FL). The NPI Number for ORTHOCARE ORTHOTICS AND PROSTHETICS INC is 1407961618

Main info

Organization
Name
ORTHOCARE ORTHOTICS AND PROSTHETICS INC
NPI
1407961618
Phone
(352) 787-0065
Address
PO BOX 491558
Authorized Official
MR. MICHAEL PATRICK ODONELL ORTHOTIST PRESIDENT CO
Enumeration Date
20 August 2006
Last Update Date
21 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for ORTHOCARE ORTHOTICS AND PROSTHETICS INC

  • PO BOX 491558

    LEESBURG, FL 347491558

    Phone: (352) 787-0065

    Fax: (352) 787-3663

    Type: Mailing

  • PO BOX 207

    LADY LAKE, FL 321580207

    Phone: (352) 751-7265

    Fax: (352) 751-4447

    Type: Mailing

  • 379 FENNELL BLVD

    LADY LAKE, FL 321593185

    Phone: (352) 751-7265

    Fax: (352) 751-4447

    Type: Location

  • US 27;US 441, The Villages District 1, Spanish Springs, The Villages, Lake County, Florida, 32159, United States

    BLDG 1100 STE 1108

    THE VILLAGES, FL 321596800

    Phone: (352) 751-7265

    Fax: (352) 751-4447

    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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (347 days ago).

Enrollment records

1

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930084766OOrthotic PersonnelFL2025-06-30

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.

Verify on CMS Revalidation Lookup Tool

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 34749)

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Reviews

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Frequently asked questions

What is ORTHOCARE ORTHOTICS AND PROSTHETICS INC's NPI number?
ORTHOCARE ORTHOTICS AND PROSTHETICS INC's NPI is 1407961618 — the number used across U.S. healthcare to identify this provider.
Would ORTHOCARE ORTHOTICS AND PROSTHETICS INC appear as active to a payer?
You can treat ORTHOCARE ORTHOTICS AND PROSTHETICS INC as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ORTHOCARE ORTHOTICS AND PROSTHETICS INC?
At a glance, ORTHOCARE ORTHOTICS AND PROSTHETICS INC is tied to Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
Where in Florida is ORTHOCARE ORTHOTICS AND PROSTHETICS INC registered?
Use Leesburg, Florida as the headline location for ORTHOCARE ORTHOTICS AND PROSTHETICS INC here.
When was this NPI issued?
Enumeration for ORTHOCARE ORTHOTICS AND PROSTHETICS INC is noted as August 20, 2006 where the registry provides it.

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