DR. GARY MILLER PROULX M.D.
NPI 1194798165
Radiology - Radiation Oncology in Sanborn, NY

Q: What is Gary Proulx's NPI number?

The NPI number for Gary Proulx is 1194798165. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Gary Proulx's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Gary Proulx was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 February 09, 2006PECOS Enrolled

3850 SAUNDERS SETTLEMENT RD, SANBORN, NY 14132(716) 898-2800(716) 898-2805 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2026, Aug 28, 2023, Feb 10, 2022 (3 updates tracked since 2022).

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About Dr. Gary Miller Proulx M.d. NPPES

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

DR. GARY MILLER PROULX M.D. (NPI 1194798165) is an individual radiation oncology provider in Sanborn, New York, licensed in New York (206678-1) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194798165

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. GARY MILLER PROULXCredential: M.D.

Location Address3850 SAUNDERS SETTLEMENT RDSanborn, NY 14132-9128

Mailing Address3085 Harlem Rd Ste 350Cheektowaga, NY 14225-2591 · (716) 844-5600 · Fax (716) 844-5750

Phone(716) 898-2800

Fax(716) 898-2805

Sole ProprietorNo

Enumeration DateFebruary 9, 2006

Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1194798165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Licenses✔ Licensed in NY · 206678-1✔ Licensed in PA · MD419971

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

3850 SAUNDERS SETTLEMENT RD, Sanborn, NY 14132

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Other Identifiers 6

OtherP00362286NY · Rr Medicare Pin

OtherCC9269PA · Rr Medicare Group

Medicaid0016314520003PA

Medicaid01753942NY

Other920007329PA · Rr Medicare Pin

OtherCC8362NY · Rr Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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)

Dr. Gary Miller Proulx M.d. 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 Reassignments

Medicare enrollment records show Gary Proulx reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.

391 mi

Family Medicine

25 MARSTON ST STE 301
Lawrence, MA 01841

Reassigned Medicare billing, Massachusetts enrollment
305 clinicians in this Medicare group

NPI 1144544040 (978) 683-4000

Steward Medical Group, Inc

393 mi

Specialist

9 GALEN ST
Watertown, MA 02472

Reassigned Medicare billing, Massachusetts enrollment
991 clinicians in this Medicare group

NPI 1629398219 (615) 467-4474

Massachusetts General Physicians Organization Inc

398 mi

Dermatology

55 FRUIT ST, BUL 2
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
6,360 clinicians in this Medicare group

NPI 1801874573 (617) 724-0287

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

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 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.

55 services48 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.

54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14132 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

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.

MRS. JESSICA LEE CAREY RPA-C

Physician Assistant (Medical)