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LONE STAR PROSTHETICS, LLC
NPI 1467953653
Prosthetic/Orthotic Supplier in Arlington, TX

Active since February 23, 2018
2201 BROOKHOLLOW PLAZA DR STE 350, ARLINGTON, TX 76006(817) 649-8144(844) 859-1443 Get Directions Write a Review

NPPES record last updated: February 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lone Star Prosthetics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONE STAR PROSTHETICS, LLC (NPI 1467953653) is a healthcare organization registered as a prosthetic/orthotic supplier in Arlington, Texas and active in the NPI registry since February 2018. The organization lists Bryan Wesley Pettit, Owner/prosthetic Practitioner, as its authorized official.

NPPES Registry Identity

NPI1467953653
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameLONE STAR PROSTHETICS, LLC
Location Address2201 BROOKHOLLOW PLAZA DR STE 350Arlington, TX 76006-7443
Mailing Address2201 Brookhollow Plaza Dr Ste 350Arlington, TX 76006-7443 · (817) 649-8144 · Fax (844) 859-1443
Phone(817) 649-8144
Fax(844) 859-1443
Organization SubpartNo
Authorized OfficialBryan Wesley PettitOwner/prosthetic Practitioner · (817) 649-8144
Enumeration DateFebruary 23, 2018
✔ NPI 1467953653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in TX · 101595
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
2201 BROOKHOLLOW PLAZA DR STE 350, Arlington, TX 76006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lone Star Prosthetics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20180627002545DME · Prosthetic PersonnelDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Lone Star Prosthetics LLC carries, from the Medicare DMEPOS supplier directory.

Lone Star Prosthetics LLC

DMEPOS supplier · Arlington, TX
⋮

Does not accept Medicare assignment

Lone Star Prosthetics LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20454491
Medicare Participant SinceJune 27, 2018
Supplier Location2201 Brookhollow Plaza Dr Ste 350Arlington, TX 76006
Phone(817) 649-8144
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lone Star Prosthetics, LLC's NPI number?

The NPI number for Lone Star Prosthetics, LLC is 1467953653. It was assigned to this organization in the NPPES registry on February 23, 2018.

Where is Lone Star Prosthetics, LLC located?

Lone Star Prosthetics, LLC is located at 2201 Brookhollow Plaza Dr Ste 350, Arlington, TX 76006. The listed phone number is (817) 649-8144.

What is Lone Star Prosthetics, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Is Lone Star Prosthetics, LLC enrolled in Medicare?

Yes. Lone Star Prosthetics, LLC is registered in the Medicare PECOS enrollment system.

When is Lone Star Prosthetics, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Texas, Prosthetic Personnel) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Lone Star Prosthetics, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Lone Star Prosthetics LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Lone Star Prosthetics, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Lone Star Prosthetics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lone Star Prosthetics, LLC was last updated on February 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.