PERRY JAKE PROCTOR DO
NPI 1184287849
Family Medicine in Kalispell, MT

Q: What is Perry Proctor's NPI number?

The NPI number for Perry Proctor is 1184287849. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Q: What is Perry Proctor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Perry Proctor was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 18, 2019PECOS EnrolledAccepts Medicare Assignment

245 WINDWARD WAY STE 101, KALISPELL, MT 59901(406) 756-8488(406) 758-3234 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Apr 18, 2019 (2 updates tracked since 2019).

On this page

About Perry Jake Proctor Do NPPES

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

PERRY JAKE PROCTOR DO (NPI 1184287849) is an individual family medicine provider in Kalispell, Montana, licensed in Montana (MED-PHYS-LIC-110556) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains a secondary practice location in Tahlequah.

NPPES Registry Identity

NPI1184287849

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePERRY JAKE PROCTORCredential: DO

Location Address245 WINDWARD WAY STE 101Kalispell, MT 59901-3385

Mailing Address19600 E Ross StTahlequah, OK 74464-0545 · (539) 234-1000

Phone(406) 756-8488

Fax(406) 758-3234

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 18, 2019

Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2024

✔ NPI 1184287849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MT · MED-PHYS-LIC-110556

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

245 WINDWARD WAY STE 101, Kalispell, MT 59901

Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 E Downing St, Tahlequah, OK 74464Tahlequah, OK 74464 · Phone (918) 458-2406

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Perry Jake Proctor Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002233228

PECOS Enrollment IDI20200902000326, I20220812001409

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services26 patients

Osteopathic manipulative treatment, 9-10 body regions 98929

Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.

36 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

St Luke Community Hospital

Critical Access Hospitals · Ronan, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271325

Location107 6th Ave SWRonan, MT 59864 · Lake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

Other Providers at the Same Location NPPES 8

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

ERIC J BELANGER PA

Physician Assistant