Gainesville Prosthetics – Prosthetic/Orthotic Supplier, NPI 1871775668

Gainesville Prosthetics is a healthcare provider. based in Gainesville, Florida. specializing in Prosthetic/Orthotic Supplier. The organization holds a License No. POR56 (FL). The NPI Number for Gainesville Prosthetics is 1871775668

Main info

Organization
Name
Gainesville Prosthetics
NPI
1871775668
Phone
(352) 331-4221
Address
4650 NW 39TH AVE STE G
Authorized Official
PAUL EDWARD PRUSAKOWSKI PRESIDENT/CEO LPO, CPO, FAAOP
Enumeration Date
3 December 2007
Last Update Date
12 March 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness90
Years active:18State licenses:1Digital endpoints

Provider Addresses for Gainesville Prosthetics

  • 4650 NW 39TH AVE STE G

    GAINESVILLE, FL 326066090

    Phone: (352) 331-4221

    Fax: (352) 332-8074

    Type: Location

  • OPIE Software, 3870, Northwest 83rd Street, Gainesville, Alachua County, Florida, 32606, United States

    GAINESVILLE, FL 326065601

    Phone: (352) 331-4221

    Fax: (352) 332-8074

    Type: Mailing

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)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (17 days away).

Enrollment records

1

Earliest due date

2026-06-30

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
O20100930002948OProsthetic PersonnelFL2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 32606)

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Reviews

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Frequently asked questions

Where can patients find Gainesville Prosthetics's NPI?
You can confirm Gainesville Prosthetics with NPI 1871775668; it appears in the national provider directory.
Is Gainesville Prosthetics currently active in the NPI registry?
CMS-published data lists Gainesville Prosthetics as an active registrant.
Does Gainesville Prosthetics list a primary specialty?
If you are matching referrals, note Prosthetic/Orthotic Supplier for Gainesville Prosthetics. Clinical services aligned with this taxonomy classification.
Does Gainesville Prosthetics practice in Florida?
You will see Gainesville, Florida on file for Gainesville Prosthetics alongside any extra practice locations.
Is Gainesville Prosthetics a real provider?
This page reflects official NPPES data for NPI 1871775668. Always confirm identity and privileges with the practice and licensing boards.

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