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NAICS Code· 423450

NAICS 423450: Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of professional medical equipment, instruments, and supplies (except ophthalmic equipment and instruments and goods used by ophthalmologists, optometrists, and opticians). Illustrative Examples: Dental equipment and supplies merchant wholesalers Surgical dressings merchant wholesalers Electromedical equipment merchant wholesalers Patient monitoring equipment merchant wholesalers Hospital beds merchant wholesalers Prosthetic appliances and supplies merchant wholesalers Hospital furniture merchant wholesalers Surgical instruments and apparatus merchant wholesalers Medical and dental X-ray machines and parts merchant wholesalers First-aid kits (except household) merchant wholesalers Surgical and medical masks merchant wholesalers Cross-References. Establishments primarily engaged in--Show more

NAICS 423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers encompasses the distribution of a broad spectrum of clinical and surgical products, including diagnostic devices, sterile surgical instruments, patient monitoring systems, dental implants, hospital beds, infusion pumps, and personal protective equipment. These wholesalers serve as critical intermediaries between manufacturers and end-user facilities, ensuring timely, compliant, and scalable delivery of essential medical supplies across federal, state, and institutional healthcare systems.

626
Active Contracts
$2.5B
Total Obligations (12mo)
469.8K
Awarded Contracts (12mo)
430
Contractors Awarded (12mo)
2
Median Bidders per Award
-36.9%
YoY Growth

Industry Spending Overview

Federal obligations, top contractors and agencies, and related industry codes for NAICS 423450.

AI Industry Description

NAICS 423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers encompasses the distribution of a broad spectrum of clinical and surgical products, including diagnostic devices, sterile surgical instruments, patient monitoring systems, dental implants, hospital beds, infusio...

NAICS 423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers encompasses the distribution of a broad spectrum of clinical and surgical products, including diagnostic devices, sterile surgical instruments, patient monitoring systems, dental implants, hospital beds, infusion pumps, and personal protective equipment. These wholesalers serve as critical intermediaries between manufacturers and end-user facilities, ensuring timely, compliant, and scalable delivery of essential medical supplies across federal, state, and institutional healthcare systems. In government contracting, this sector supports mission-critical operations by maintaining inventory readiness for field medical units, VA hospitals, public health emergency responses, and overseas diplomatic medical posts, often under strict regulatory frameworks such as FDA labeling and FAR compliance. Top contractors in this space include large industrial suppliers like 3M Company and Terumo Medical Corp., alongside specialized distributors such as Marathon Medical Corporation, Altitude Technologies Inc., and Supply King USA, LLC. VisionCorps and VSGI LLC focus on niche clinical equipment, while Solventum Orthodontics Corporation delivers targeted dental solutions. The competitive landscape is characterized by a mix of established primes with robust logistics networks and agile small businesses leveraging GSA schedules and small business set-asides to penetrate federal procurement channels. Primary buyers include the Defense Logistics Agency, DLA Troop Support, Department of Veterans Affairs, and Department of Health and Human Services, which procure for military medical units, VA facilities, and public health initiatives. The Department of State and USAID also source these supplies for overseas medical missions, while agencies like DHS and DOJ acquire equipment for correctional and emergency response healthcare needs. The market is highly fragmented yet opportunity-dense, with recurring demand driven by inventory turnover, equipment upgrades, and emergency preparedness cycles. Contractors with GSA Schedule 65, FDA registration, and Just-in-Time logistics capabilities hold a distinct advantage in securing sustained contracts across multiple federal entities.

Small Business Size Standard

The SBA threshold that decides who can bid NAICS 423450 work as a small business.

200 employees
Applies to the whole industry code

The SBA cap for this NAICS (13 CFR 121.201). A business at or under it can self-certify as small for work in this code, which is what makes it eligible for a small-business set-aside. The cap is set per NAICS, so the same company can be small in one code and not in another.

13 CFR 121.201, effective January 1, 2026. The SBA revises the table roughly once a year.

Top Contractors

Companies with the highest total award value under NAICS 423450, ranked by dollars won.

Top Agencies

Federal agencies directing the most contract spending toward NAICS 423450.

Competition

How many companies historically bid on federal awards in NAICS 423450, from bidder counts reported on USAspending.

Fewer Bidders

Median under 3 bidders per reported award. · 2,963,654 reported awards

Median Bidders

2

Per reported award, all-time

Single-Bid Awards

26%

Share of reported awards with one bidder

10+ Bidder Awards

18%

Share of reported awards with 10+ bidders

Reported Awards

2,963,654

33% of 9,117,980 total awards

Bidder Count Distribution by Fiscal Year

Share of reported awards in each bidder-count bracket per federal fiscal year.

How this code compares up the NAICS hierarchy. Parent cohorts pool every code under their prefix, so they are the steadier baseline when a 6-digit sample is thin.

Industry FamilyCompetitionMedian BiddersSingle-BidBidder MixReported Awards
423450This Code
Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
Fewer Bidders226%
2,963,65433% of 9,117,980
42345NAICS Industry
Fewer Bidders226%
2,963,65433% of 9,117,980
4234Industry Group
Professional and Commercial Equipment and Supplies Merchant Wholesalers
Fewer Bidders227%
3,180,72634% of 9,428,385
423Subsector
Fewer Bidders224%
4,646,33738% of 12,317,116
42Sector
Wholesale Trade
Moderate Competition318%
7,852,24141% of 19,092,105

Bidder counts reported on past federal awards in this NAICS (USAspending). An open opportunity has no bidders yet, so this is the historical norm for similar work, not a fact about this solicitation. Not all awards report bidder counts, and fewer bidders often means incumbent-held work rather than an easier win. Federal reporting of bidder counts fell from ~96% of awards (FY2016) to ~30% (FY2018 onward); the chart shows shares of reported awards, and washed-out stretches mark years with fewer than 30 of them.

Related NAICS Codes

Industries similar to Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers, by shared sector, subsector, and industry group.

Photographic Equipment and Supplies Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of p...
423410Same Industry GroupHigh Similarity

Office Equipment Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of o...
423420Same Industry GroupHigh Similarity

Computer and Computer Peripheral Equipment and Software Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of c...
423430Same Industry GroupHigh Similarity

Other Commercial Equipment Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of c...
423440Same Industry GroupHigh Similarity

Ophthalmic Goods Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of p...
423460Same Industry GroupHigh Similarity

Other Professional Equipment and Supplies Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of p...
423490Same Industry GroupHigh Similarity

Automobile and Other Motor Vehicle Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of n...
423110Same SubsectorMedium Similarity

Motor Vehicle Supplies and New Parts Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of m...
423120Same SubsectorMedium Similarity

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NAICS 423450 FAQ

Frequently Asked Questions

NAICS code 423450 covers Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers. This industry comprises establishments primarily engaged in the merchant wholesale distribution of professional medical equipment, instruments, and supplies (except ophthalmic equipment and instruments and goods used by ophthalmologists, optometrists, and opticians). Illustrative Examples: Dental equipment and supplies merchant wholesalers Surgical dressings merchant wholesalers Electromedical equipment merchant wholesalers Patient monitoring equipment merchant wholesalers Hospital beds merchant wholesalers Prosthetic appliances and supplies merchant wholesalers Hospital furniture merchant wholesalers Surgical instruments and apparatus merchant wholesalers Medical and dental X-ray machines and parts merchant wholesalers First-aid kits (except household) merchant wholesalers Surgical and medical masks merchant wholesalers Cross-References. Establishments primarily engaged in--

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