DR. TODD B PROCTOR MD
NPI 1316929250
Otolaryngology in Auburn Hills, MI

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2251 N SQUIRREL RD, SUITE 105, AUBURN HILLS, MI 48326(248) 648-8100(248) 648-8060 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Todd B Proctor Md NPPES

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

DR. TODD B PROCTOR MD (NPI 1316929250) is an individual otolaryngology provider in Auburn Hills, Michigan, licensed in Michigan (4301054694) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of University Of Michigan Medical School (1989).

NPPES Registry Identity

NPI1316929250
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TODD B PROCTORCredential: MD
Location Address2251 N SQUIRREL RD, SUITE 105Auburn Hills, MI 48326-4600
Mailing Address2251 N Squirrel Rd, Suite 105Auburn Hills, MI 48326-4600 · (248) 648-8100 · Fax (248) 648-8060
Fax(248) 648-8060
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1989
Enumeration DateNovember 16, 2005
Last NPPES UpdateFebruary 28, 2018
NPI 1316929250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MI · 4301054694
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2251 N SQUIRREL RD, Auburn Hills, MI 48326

Other Identifiers 3

Other0M23890MI · Medicare Group #
Medicaid3394295MI
Other040631293Bcbsm

Accepted 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. Todd B 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 ID7315038544
PECOS Enrollment IDI20070802000365
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 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.
605 services404 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
193 services143 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
114 services114 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
113 services113 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.
58 services49 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
44 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48326 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007
DME-Other DME · category DE000N
1 supplier14 claims28 services$3.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Physical Therapist
2251 N SQUIRREL RD
AUBURN HILLS, MI 48326
Speech-Language Pathologist
2251 N SQUIRREL RD
AUBURN HILLS, MI 48326
Registered Nurse (Diabetes Educator)
2251 N SQUIRREL RD
AUBURN HILLS, MI 48326
Counselor (Professional)
2251 N SQUIRREL RD
AUBURN HILLS, MI 48326
Clinic/Center (Urgent Care)
2251 N SQUIRREL RD, SUITE 125
AUBURN HILLS, MI 48326
Dermatology
2251 N SQUIRREL RD, SUITE 200
AUBURN HILLS, MI 48326
Physical Therapist
2251 N SQUIRREL RD
AUBURN HILLS, MI 48326
Podiatrist (Foot & Ankle Surgery)
2251 N SQUIRREL RD, STE. 100
AUBURN HILLS, MI 48326

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 Todd Proctor's NPI number?

The NPI number for Todd Proctor is 1316929250. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Todd Proctor located?

Todd Proctor practices at 2251 N Squirrel Rd Suite 105, Auburn Hills, MI 48326. The listed phone number is (248) 648-8100.

What is Todd Proctor's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Todd Proctor enrolled in Medicare?

Yes. Todd 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 Todd Proctor accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Todd 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 Todd Proctor affiliated with any hospitals?

According to CMS data, Todd Proctor is affiliated with Beaumont Hospital Royal Oak, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Todd Proctor was last updated on February 28, 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.