BRIAN C PROCTER M.D.
NPI 1093780330
Family Medicine in Mckinney, TX

Active since February 21, 2006Opted out of Medicare · through Apr 1, 2028
7692 ELDORADO PKWY W, MCKINNEY, TX 75070(972) 562-8388(972) 540-2219 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian C Procter M.d. NPPES

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

BRIAN C PROCTER M.D. (NPI 1093780330) is an individual family medicine provider in Mckinney, Texas, licensed in Texas (K7202) and active in the NPI registry since February 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer, is affiliated with Hunt Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1093780330
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIAN C PROCTERCredential: M.D.
Location Address7692 ELDORADO PKWY WMckinney, TX 75070-5652
Mailing Address7692 Eldorado Pkwy WMckinney, TX 75070-5652 · (972) 562-8388 · Fax (972) 540-2219
Fax(972) 540-2219
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 21, 2006
Last NPPES UpdateApril 4, 2011
NPI 1093780330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K7202
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7692 ELDORADO PKWY W, Mckinney, TX 75070

Other Identifiers 5

Other0063ERTX · Bcbs
Medicare UPINH03310TX
Other930093930TX · Palmetto Gba Railroad
OtherTX5957TX · Phcs
Medicare ID-Type Unspecified00665JTX · Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Brian C Procter M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75070 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
79%159 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%220 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%297 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims54 services$6.71 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers34 claims34 services$195.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Brian Procter's NPI number?

The NPI number for Brian Procter is 1093780330. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Brian Procter located?

Brian Procter practices at 7692 Eldorado Pkwy W, Mckinney, TX 75070. The listed phone number is (972) 562-8388.

What is Brian Procter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brian Procter enrolled in Medicare?

No. Brian Procter has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Brian Procter affiliated with any hospitals?

According to CMS data, Brian Procter is affiliated with Hunt Regional Medical Center, Medical Center Of Mckinney, Medical City Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Brian Procter was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.