OTTO BOCK ORTHOPEDIC SERVICES LLC – Prosthetic/Orthotic Supplier, NPI 1740515782
Prosthetic/Orthotic Supplier
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OTTO BOCK ORTHOPEDIC SERVICES LLC
PO BOX 734949
DALLAS, TX 753734949
Phone: (800) 736-8276
Fax: (866) 642-2302
Type: Mailing
555 ROUND ROCK WEST DR STE E213
ROUND ROCK, TX 786815052
Phone: (800) 736-8276
Fax: (866) 642-2302
Type: Location
11501, Alterra Parkway, Domain Northside, Austin, Travis County, Texas, 78758, United States
SUITE 600
AUSTIN, TX 787583597
Phone: (800) 736-8276
Type: Mailing
11809 DOMAIN DR UNIT 400
AUSTIN, TX 787583452
Phone: (800) 736-8276
Fax: (866) 642-2302
Type: Location
11809 DOMAIN DR UNIT 110
AUSTIN, TX 787583452
Phone: (800) 736-8276
Fax: (866) 642-2302
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 2025-11-30 (193 days ago).
Enrollment records
1
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20100930037033 | O | Medical Supply Company | TX | 2025-11-30 |
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.
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 75373)
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