Medical Equipment Distributors NAICS 423450

        Medical Equipment Distributors

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Industry Summary

The 8,500 medical equipment distributors in the US sell and distribute a broad range of medically related products, principally to hospitals, physician and dental practices, alternative care and rehabilitation facilities, and directly to the home healthcare market. Major categories of products include medical/surgical instruments and equipment, medical and hospital supplies, and dental equipment and supplies.

Complex Billing and Record Keeping Requirements

Medical equipment distributors are frequently subject to many stringent and complex billing and record-keeping requirements in order to substantiate claims for payment under both government and private insurance healthcare reimbursement programs.

Growing Industry Consolidation

The medical, dental, and hospital equipment and supplies distribution industries have undergone consolidation in recent years.


Recent Developments

Aug 4, 2025 - Industry Seeks Coverage For AI-based ‘Breakthrough’ Medical Devices
  • Medical device lobbyists and lawmakers are coordinating on legislation that would make it easier to bill Medicare for artificial intelligence-based devices used in health care, according to STAT News. They hope to accelerate the development of reimbursement rules for “algorithm-based health services,” many of which have seen limited adoption despite getting cleared by the Food and Drug Administration. Food and Drug Administration commissioner Marty Makary has said that he is working with Centers for Medicare and Medicaid Services administrator Mehmet Oz to advance immediate Medicare reimbursement for breakthroughs, “so they don’t have to go through their own repeat duplicative process.”
  • A significant proportion of essential medical goods come from international sources despite efforts to bolster the domestic supply chain, according to the American Hospital Association (AHA). Nearly 70% of medical devices marketed in the US are manufactured exclusively overseas. In 2024 alone, the US imported over $75 billion in medical devices and supplies, according to an AHA analysis of Census Bureau data. These imports include many low margin, high-use essentials in hospital settings — such as syringes, needles, blood pressure cuffs, and IV saline bags. Hospitals also rely on imports for advanced surgical tools and other critical technologies.
  • US health care sector leaders say that the medical supply chain remains vulnerable, particularly as they brace for the impact of changing US trade policy, according to the Association of American Medical Colleges (AAMC). The specter of increasing tariffs that could increase the costs of pharmaceuticals, medical devices, and other products used in medical care is a key vulnerability. The health care sector hasn't yet seen large price increases related to tariffs that were enacted in the first half of 2025, according to the AAMC. The tariffs, which have varied by country and changed several times, were blocked by a US federal court in a May 28 ruling which said that the Trump administration overstepped its authority in implementing them. The administration has appealed the decision and financial experts say that it may still be able to use workarounds to implement tariffs. “Because there’s so much uncertainty, it’s very difficult to plan,” said Erin Fox, associate chief pharmacy officer for Shared Services at University of Utah Health. “It’s kind of a wait and see and recalibrate approach.”
  • Medical equipment distributor industry employment increased slightly and average wages for nonsupervisory employees decreased slightly during the first six months of 2025, according to the US Bureau of Labor Statistics. Professional and commercial equipment distributor sales remained above pre-pandemic levels during the first half of 2025, according to the US Census Bureau (CB). Medical equipment distributors moderately increased their prices during 2024, according to the BLS.

Industry Revenue

Medical Equipment Distributors


Industry Structure

Industry size & Structure

The average medical equipment distributor employs 38 workers and generates $35.6 million in annual revenue.

    • There are about 8,500 distributors with total sales of $301.2 billion and 318,600 employees.
    • The hospital equipment and supplies market is dominated by the influence of Group Purchasing Organizations.
    • The physician office-based practice market is increasingly being influenced by the growth of Integrated Healthcare Networks, as more independent physician practices merge and consolidate.
    • Dental practices have generally remained small and independent, leaving distributors with unique challenges in servicing a large number of small, scattered customers efficiently and profitably.
    • The three largest medical/dental product distributors are Owens & Minor, Henry Schein, and Patterson Companies.

                                Industry Forecast

                                Industry Forecast
                                Medical Equipment Distributors Industry Growth
                                Source: Vertical IQ and Inforum

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