Prosthetics By Nelson, Inc.

Prosthetics By Nelson, Inc., a for-profit Subchapter S corporation headquartered in Buffalo, New York, manufactures and delivers custom-fabricated prosthetic limbs, orthotic devices, and related clinical services to the Department of Veterans Affairs as a prime contractor operating entirely within the full-and-open (non-set-aside) market. The company competes with no SBA certifications and no ownership designations noted in its federal award footprint. Prosthetics By Nelson operates from its manufacturing facility in Cheektowaga, New York, where it designs, fabricates, and fits prosthetic appliances and mobility assistance devices.

The vendor's federal customer base is narrowly concentrated: 223 of 225 total awards (99% of recent activity) flow through the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 2 (VISN 2), which serves the upstate New York region. The single remaining award is a non-VISN 2 VA transaction. This extreme concentration reflects Prosthetics By Nelson's role as an established prosthetic supplier to Buffalo-region VA medical facilities, particularly the Buffalo VA Medical Center. Combined potential value across all recent awards stands at $12.5 million, with $4.1 million obligated (33% of potential).

Prosthetics By Nelson places nearly all work under two parent IDIQs. The company holds 78 task orders valued at $906 thousand under Indefinite Delivery Contract VA52814D0088 and 55 task orders valued at $1.8 million under the VISN 2 Artificial Limb IDIQ. A third IDIQ vehicle, Indefinite Delivery Contract VA528P0396, carries 46 task orders valued at $488 thousand. These three vehicles represent the full scope of the vendor's identifiable parent procurement framework. The company's NAICS profile (190 awards under Surgical Appliance and Supplies Manufacturing, 24 under Surgical and Medical Instrument Manufacturing) and PSC posture (224 awards under Medical And Surgical Instruments, Equipment, And Supplies) confirm specialization in prosthetic and orthotic manufacture and delivery.

Activity has contracted sharply. Award volume declined from 22 in 2022 to 11 in 2024 and 5 in 2025, with only one award appearing in 2026 year-to-date through mid-October. Recent delivery orders and purchase orders range from under $1,000 to $397 thousand, typically delivering prosthetic limbs, orthotic appliances, stairlifts, and specialized components such as Genium knees to VISN 2 ordering officers for monthly cycles or specific patient requirements. Representative work includes a $62 thousand delivery order for express-report prosthetics services (October–November 2024), a $48 thousand purchase order for prosthetic limbs (March 2025), and a $397 thousand delivery order for prosthetics and orthotics spanning November 2023 through September 2024. The firm holds no subcontract footprint and operates exclusively as a prime contractor. The vendor's established SAM registration dates to May 2008, reflecting over sixteen years as a federal contractor to the VA prosthetic supply chain. Recent completion dates cluster in late 2024 through mid-2026, indicating no imminent recompete cliff within the next twelve months beyond normal IDIQ renewal cycles.