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MONJA L PROCTOR MD
NPI 1023192747
Surgery - Pediatric Surgery in Lubbock, TX

Active since October 25, 2006PECOS Enrolled
4102 22ND PL, LUBBOCK, TX 79410(806) 725-0237(806) 725-1030 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Monja L Proctor Md NPPES

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

MONJA L PROCTOR MD (NPI 1023192747) is an individual pediatric surgery provider in Lubbock, Texas, licensed in Texas (J7836) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1023192747
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameMONJA L PROCTORCredential: MD
Location Address4102 22ND PLLubbock, TX 79410-1122
Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5844 · Fax (806) 723-6532
Phone(806) 725-0237
Fax(806) 725-1030
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1023192747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in TX · J7836✔ Licensed in ND · PT13389✔ Licensed in WA · MD00041914
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
4102 22ND PL, Lubbock, TX 79410
Open in Google Maps ↗

Secondary Practice Location 1

Location 11101 Madison St Ste 800Seattle, WA 98104-1307 · Phone (206) 215-2700 · Fax (206) 215-2702

Other Identifiers 2

Other1E9888TX · Medicare
Medicaid8369837WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monja L Proctor Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Monja Proctor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group
0.2 mi
Family Medicine
2215 NASHVILLE AVE
Lubbock, TX 79410
  • Reassigned Medicare billing, Texas enrollment
  • 309 clinicians in this Medicare group
NPI 1376598904 (806) 725-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHEYENNE BAILEY DUNCAN APRN
Nurse Practitioner (Pediatrics)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-6000
SHERRY MICHELLE LANDSMAN FNP-C
Nurse Practitioner (Family)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
KIRA COUSATTE NNP-BC
Nurse Practitioner (Neonatal)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
DR. MONICA RELVAS M.D.
Pediatrics (Pediatric Critical Care Medicine)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
DR. AHMAD ZAGHAL M.D.
Surgery (Pediatric Surgery)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
SHERRI DIANE CAUDILL FNP
Nurse Practitioner (Family)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
SIERRA DANIELLE HENRY
Nurse Practitioner (Pediatrics)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237
JANE FRANKLIN GOLDTHORN MD
Surgery (Pediatric Surgery)
4102 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-0237

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 Monja Proctor's NPI number?

The NPI number for Monja Proctor is 1023192747. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Monja Proctor located?

Monja Proctor practices at 4102 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 725-0237.

What is Monja Proctor's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Monja Proctor enrolled in Medicare?

Yes. Monja Proctor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monja Proctor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monja Proctor reassigns Medicare benefits to Covenant Medical Group (Lubbock, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monja Proctor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monja Proctor accept?

Health plans from Baylor Scott and White Health Plan, Moda Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Monja Proctor 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 Monja Proctor was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.