PERFORMANCE PROSTHETICS & ORTHOTICS, PL – Prosthetic/Orthotic Supplier, NPI 1932483831

PERFORMANCE PROSTHETICS & ORTHOTICS, PL is a healthcare provider. based in Pensacola, Florida. specializing in Prosthetic/Orthotic Supplier. The organization holds a License No. POR145 (FL). The NPI Number for PERFORMANCE PROSTHETICS & ORTHOTICS, PL is 1932483831

Main info

Organization
Name
PERFORMANCE PROSTHETICS & ORTHOTICS, PL
NPI
1932483831
Phone
(850) 607-6126
Address
3010 N 12TH AVE
Authorized Official
SCOTT DAVID COOPER OFFICE MANAGER
Enumeration Date
11 October 2011
Last Update Date
19 March 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for PERFORMANCE PROSTHETICS & ORTHOTICS, PL

  • 3010 N 12TH AVE

    PENSACOLA, FL 325034067

    Phone: (850) 607-6126

    Fax: (850) 607-6674

    Type: Mailing

  • 15467 ALABAMA 59

    UNIT 1

    FOLEY, AL 365674043

    Phone: (850) 607-6126

    Fax: (850) 607-6674

    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: 2011-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (923 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
O20111122000940OOrthotic PersonnelAL2023-11-30

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 32503)

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Reviews

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Frequently asked questions

What unique ID ties claims to PERFORMANCE PROSTHETICS & ORTHOTICS, PL?
NPI 1932483831 is assigned to PERFORMANCE PROSTHETICS & ORTHOTICS, PL under the national enumeration system.
Does this profile mean PERFORMANCE PROSTHETICS & ORTHOTICS, PL is currently active?
Yes — PERFORMANCE PROSTHETICS & ORTHOTICS, PL appears active in the national provider directory.
What does PERFORMANCE PROSTHETICS & ORTHOTICS, PL treat or focus on?
Patients typically see PERFORMANCE PROSTHETICS & ORTHOTICS, PL under the specialty Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
Where is PERFORMANCE PROSTHETICS & ORTHOTICS, PL's primary listing?
We display Pensacola, Florida because that is what the record indicates for PERFORMANCE PROSTHETICS & ORTHOTICS, PL.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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