DR. LORI M PROCTOR MD
NPI 1184634214
Pathology - Anatomic Pathology & Clinical Pathology in Brentwood, TN

Q: What is Lori Proctor's NPI number?

The NPI number for Lori Proctor is 1184634214. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Lori Proctor's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Lori Proctor was last updated on May 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 09, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027(615) 695-4977 Get Directions Write a Review

NPPES record last updated: May 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lori M Proctor Md NPPES

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

DR. LORI M PROCTOR MD (NPI 1184634214) is an individual anatomic pathology & clinical pathology provider in Brentwood, Tennessee, licensed in Tennessee (41842) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Loma Linda University School Of Medicine (2000).

NPPES Registry Identity

NPI1184634214

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. LORI M PROCTORCredential: MD

Location Address5301 VIRGINIA WAY, SUITE 300Brentwood, TN 37027-7541

Mailing Address5301 Virginia Way, Suite 300Brentwood, TN 37027-7541 · (615) 695-4977

Phone(615) 695-4977

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2000

Enumeration DateAugust 9, 2006

Last NPPES UpdateMay 16, 2017

✔ NPI 1184634214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TN · 41842

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

5301 VIRGINIA WAY, Brentwood, TN 37027

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Other Identifiers 13

Other164669500TN · Dol

Medicare UPINI69712GA

Other52207348GA · Bcbs Of Ga

Medicare PINP00423272TN

Medicaid3000029TN

Other55427GA · Ga

Medicaid675737865GA

Medicare PIN3000029TN

Medicare PIN22BDDXPGA

Other4149079TN · Bcbs Of Tn

Other164669500TN · Black Lung

Other41842TN · Tn

Other8272039TN · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.Insurance ›

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

Dr. Lori M Proctor Md 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 ID2769586007

PECOS Enrollment IDI20070327000335, I20070703000775

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 16

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

857 services406 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

386 services264 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

230 services69 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

222 services205 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

107 services92 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

96 services25 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

73 services69 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

73 services31 patients

Cell examination of specimen, selective cellular enhancement technique 88112

67 services59 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

63 services45 patients

Microscopic genetic analysis of tumor, manual 88360

62 services21 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

61 services49 patients

Special stained specimen slides to examine tissue, initial procedure 88342

59 services58 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

40 services37 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

28 services16 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440009

Location421 S Main StCrossville, TN 38555 · Cumberland County

Emergency services Birthing friendly

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440156

Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County

Emergency services

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440185

Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County

Emergency services

Rhea Medical Center

Critical Access Hospitals · Dayton, TN

OwnershipGovernment - Local

CMS Certification Number441310

Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Other Providers at the Same Location NPPES 20

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

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