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CHAD PROCTOR
NPI 1194222711
Nurse Practitioner - Family in Cedar Rapids, IA

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
701 10TH ST SE, CEDAR RAPIDS, IA 52403(319) 398-6011 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chad Proctor NPPES

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

CHAD PROCTOR (NPI 1194222711) is an individual family provider in Cedar Rapids, Iowa, licensed in Iowa (A108024) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194222711
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHAD PROCTOR
Location Address701 10TH ST SECedar Rapids, IA 52403-1251
Mailing Address701 10th St SeCedar Rapids, IA 52403-1251
Phone(319) 398-6011
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 10, 2018
✔ NPI 1194222711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A108024
701 10TH ST SE, Cedar Rapids, IA 52403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Chad Proctor 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 ID1759645187
PECOS Enrollment IDI20180510001024
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 8

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.
126 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
103 services70 patients
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.
69 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52403 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 20

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

MERCY PHYSICIAN ASSOCIATES, INC
Psychiatry & Neurology (Psychiatry)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 369-4798
KORI R ASSMAN NOLTING
Speech-Language Pathologist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6104
OWEN M MCCARRON MD
Obstetrics & Gynecology
701 10TH ST SE, J EDWARD LUNDY PAVILION 4TH FLOOR
CEDAR RAPIDS, IA 52403
Linn County (319) 221-8400
ERIN BURNS MSN, ARNP, NNP-BC
Nurse Practitioner (Neonatal)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6011
WILLIAM JAMES HALLS PHARMD
Pharmacist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6060
JENNIFER BRADLEY ARNP
Nurse Practitioner (Psychiatric/Mental Health)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 369-4777
MR. DAVID NEIRA PT
Physical Therapist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6020
LINDSEY STANLEY
Nurse Practitioner (Pediatrics)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6011

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 Chad Proctor's NPI number?

The NPI number for Chad Proctor is 1194222711. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Chad Proctor located?

Chad Proctor practices at 701 10th St SE, Cedar Rapids, IA 52403. The listed phone number is (319) 398-6011.

What is Chad Proctor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chad Proctor enrolled in Medicare?

Yes. Chad Proctor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Chad Proctor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Chad 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.

Is Chad Proctor affiliated with any hospitals?

According to CMS data, Chad Proctor is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Chad Proctor was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.