OTTO BOCK ORTHOPEDIC SERVICES LLC – Prosthetic/Orthotic Supplier, NPI 1134516917
Prosthetic/Orthotic Supplier
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OTTO BOCK ORTHOPEDIC SERVICES LLC
11501 ALTERRA PARKWAY
SUITE 600
AUSTIN, TX 787583597
Phone: (512) 806-2879
Type: Mailing
43000 W 9 MILE RD
SUITE 105
NOVI, MI 483754175
Phone: (248) 719-7083
Type: Location
2387 S LINDEN RD STE 102
FLINT, MI 485325487
Phone: (800) 736-8276
Type: Location
PO BOX 734949
DALLAS, TX 753734949
Phone: (800) 736-8276
Fax: (866) 642-2302
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: 2016-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1046 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20160709000026 | O | Medical Supply Company | MI | 2023-07-31 |
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 78758)
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