DR. LYLE PETRUTSAS DDS
NPI 1740429828
Dentist in Dallas, TX

Q: What is Lyle Petrutsas's NPI number?

The NPI number for Lyle Petrutsas is 1740429828. It was assigned to this individual provider in the NPPES registry on February 12, 2009.

Q: What is Lyle Petrutsas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Lyle Petrutsas was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since February 12, 2009PECOS Enrolled

3131 HARVARD AVE STE 107, DALLAS, TX 75205(214) 521-2258(214) 521-3425 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lyle Petrutsas Dds NPPES

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

DR. LYLE PETRUTSAS DDS (NPI 1740429828) is an individual dentist in Dallas, Texas, licensed in Texas (18774) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740429828

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. LYLE PETRUTSASCredential: DDS

Location Address3131 HARVARD AVE STE 107Dallas, TX 75205-3437

Mailing Address3131 Harvard Ave Ste 107Dallas, TX 75205-3437 · (214) 521-2258 · Fax (214) 521-3425

Phone(214) 521-2258

Fax(214) 521-3425

Sole ProprietorNo

Enumeration DateFebruary 12, 2009

Last NPPES UpdateSeptember 15, 2009

✔ NPI 1740429828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 18774

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3131 HARVARD AVE STE 107, Dallas, TX 75205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lyle Petrutsas Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lyle Petrutsas's NPI number?

The NPI number for Lyle Petrutsas is 1740429828. It was assigned to this individual provider in the NPPES registry on February 12, 2009.

Where is Lyle Petrutsas located?

Lyle Petrutsas practices at 3131 Harvard Ave Ste 107, Dallas, TX 75205. The listed phone number is (214) 521-2258.

What is Lyle Petrutsas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Lyle Petrutsas enrolled in Medicare?

Yes. Lyle Petrutsas is registered in the Medicare PECOS enrollment system.

What insurance does Lyle Petrutsas accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Lyle Petrutsas 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 Lyle Petrutsas was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.