PROSTHETIC-ORTHOTIC ASSOCIATES OF EAST TEXAS, INC.
NPI 1780624148
Prosthetic/Orthotic Supplier in Tyler, TX

Q: What is Prosthetic-Orthotic Associates Of East Texas, Inc.'s specialty?

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

Active since June 07, 2006

1028 E IDEL ST, TYLER, TX 75701(903) 592-6574(903) 595-3862 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 16, 2021, Aug 8, 2019 (2 updates tracked since 2019).

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About Prosthetic-orthotic Associates Of East Texas, Inc. NPPES

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

PROSTHETIC-ORTHOTIC ASSOCIATES OF EAST TEXAS, INC. (NPI 1780624148) is a healthcare organization registered as a prosthetic/orthotic supplier in Tyler, Texas and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Tyler and lists Bruce P. Mcclellan, President/owner, as its authorized official.

NPPES Registry Identity

NPI1780624148

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePROSTHETIC-ORTHOTIC ASSOCIATES OF EAST TEXAS, INC.

Location Address1028 E IDEL STTyler, TX 75701-2024

Mailing Address1028 E Idel StTyler, TX 75701-2024 · (903) 592-6574 · Fax (903) 595-3862

Phone(903) 592-6574

Fax(903) 595-3862

Organization SubpartNo

Authorized OfficialBruce P. McclellanPresident/owner · (903) 592-6574

Enumeration DateJune 7, 2006

Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration

NPPES CertifiedJuly 16, 2021

✔ NPI 1780624148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in TX · 000086

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.

1028 E IDEL ST, Tyler, TX 75701

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Secondary Practice Location 1

Location 11122 E Front StTyler, TX 75702-8414 · Phone (903) 592-6574 · Fax (903) 595-3862

Other Identifiers 4

Other079439801TX · Cshcn-prothetics

Other079440601TX · Cshcn-orthotics

Medicaid087369701TX

Other515809Bcbs-texas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Prosthetic-Orthotic Associates carries, from the Medicare DMEPOS supplier directory.

Prosthetic-Orthotic Associates

DMEPOS supplier · Tyler, TXOperated by Prosthetic-Orthotic Associates Of East Texas Inc

✔

Accepts Medicare assignment

Prosthetic-Orthotic Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20635595

Medicare Participant SinceJanuary 1, 1999

Supplier Location1028 E Idel StTyler, TX 75701

Phone(903) 592-6574

Supplier Specialties

Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Limb Prostheses

Prosthetic arms, Prosthetic feet, Prosthetic knees

Lymphedema Compression Treatment Items

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 Prosthetic-Orthotic Associates Of East Texas, Inc.'s NPI number?

The NPI number for Prosthetic-Orthotic Associates Of East Texas, Inc. is 1780624148. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Prosthetic-Orthotic Associates Of East Texas, Inc. located?

Prosthetic-Orthotic Associates Of East Texas, Inc. is located at 1028 E Idel St, Tyler, TX 75701. The listed phone number is (903) 592-6574.

What is Prosthetic-Orthotic Associates Of East Texas, Inc.'s specialty?

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

Does Prosthetic-Orthotic Associates Of East Texas, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Prosthetic-Orthotic Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Prosthetic-Orthotic Associates Of East Texas, Inc. accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Prosthetic-Orthotic Associates Of East Texas, Inc. 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 Prosthetic-Orthotic Associates Of East Texas, Inc. was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.