Graybeal Orthopedic Appliances, LLC

Graybeal Orthopedic Appliances, LLC, doing business as Anchor Brace And Limb, manufactures and supplies custom prosthetic and orthotic devices to the Department of Veterans Affairs as a prime contractor under a blanket purchase agreement, competing on full-and-open (non-set-aside) basis with no subcontracting footprint.

The company, a for-profit limited liability partnership headquartered in Johnson City, Tennessee, operates under primary NAICS 334510 (Surgical Appliance and Supplies Manufacturing) with secondary NAICS 423450 (Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers). All twelve recent awards flow exclusively through VISN 9 (Veterans Integrated Service Network 9), the VA's regional healthcare network for Tennessee, Kentucky, Ohio, and West Virginia. The vendor's customer concentration is absolute: VISN 9 accounts for 100% of awards and 100% of combined potential value ($7.8 million).

Graybeal's capability portfolio centers on patient-specific prosthetic and orthotic solutions. Representative orders include a $43,857.94 January 2026 BPA call for a clinician-prescribed left leg prosthesis featuring an Otto Bock C-Leg 4 microprocessor-controlled knee (completing April 2026); a $37,701.48 purchase order for a custom Tectus Knee-Ankle-Foot Orthosis (KAFO) brace; a $31,996.86 upper prosthesis with Taska wrist; a $62,853.64 myoelectric prosthesis with Taska hand and CoAPT pattern recognition; and multiple above-knee prostheses ranging from $10,730 to $17,395 in ceiling value. Orders are issued as firm fixed-price transactions with performance in Johnson City, Tennessee, and typical ceiling values span approximately $10,000 to $62,000 per individual order.

Graybeal holds a single parent vehicle: a $7.5 million multiple-award blanket purchase agreement with VISN 9 (BPA 36C24924A0044), effective April 17, 2024, through March 31, 2034, covering comprehensive prosthetic and orthotic goods and services. Two task orders totaling $61 thousand in combined potential value have been placed against this BPA since its award. Recent activity has been modest and uneven—two awards in 2022, three in 2023, two in 2024, three in 2025, and one in early 2026—with combined dollars obligated across all awards at $267 thousand (3% of the $7.8 million combined potential value), indicating that many orders remain unfilled or incomplete. No recompete cliff data is provided in the source; however, the multi-year BPA validity through 2034 suggests stable access to VISN 9 procurement channels absent vehicle recompete action.