RANDALL LEE PROCTOR M.D.
NPI 1366880304
Dermatology - MOHS-Micrographic Surgery in Greenville, NC

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
83.38/100
CMS Quality Rating
420 SPRING FOREST RD, GREENVILLE, NC 27834(252) 752-4124(252) 752-2044 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2018, Apr 19, 2018 (2 updates tracked since 2018).

About Randall Lee Proctor M.d. NPPES

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

RANDALL LEE PROCTOR M.D. (NPI 1366880304) is an individual mohs-micrographic surgery provider in Greenville, North Carolina, licensed in North Carolina (2016-02476) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Brody School Of Medicine At East Carolina University (2013).

NPPES Registry Identity

NPI1366880304
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameRANDALL LEE PROCTORCredential: M.D.
Location Address420 SPRING FOREST RDGreenville, NC 27834
Mailing Address420 Spring Forest RdGreenville, NC 27834-2892 · (252) 752-4124 · Fax (252) 752-2044
Fax(252) 752-2044
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2013
Enumeration DateJune 12, 2013
Last NPPES UpdateAugust 1, 20182 updates tracked since enumeration
NPI 1366880304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in NC · 2016-02476
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
420 SPRING FOREST RD, Greenville, NC 27834

Secondary Practice Locations 2

Location 11940 Stonegate Dr Ste 130Vestavia Hls, AL 35242-2541 · Phone (205) 977-9876 · Fax (205) 977-9976
Location 22100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-3229 · Fax (252) 744-3924

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

Randall Lee Proctor M.d. 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 ID547569576
PECOS Enrollment IDI20180720002338
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 39

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,179 services187 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
991 services823 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.
470 services370 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
317 services241 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
303 services227 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
201 services194 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

83.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.05
Promoting Interoperability98
Improvement Activities40
Cost83.24

Other Providers at the Same Location NPPES 14

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

Dermatology
420 SPRING FOREST RD
GREENVILLE, NC 27834
Physician Assistant
420 SPRING FOREST RD
GREENVILLE, NC 27834
Nurse Practitioner (Family)
420 SPRING FOREST RD
GREENVILLE, NC 27834
Nurse Practitioner
420 SPRING FOREST RD
GREENVILLE, NC 27834
Dermatology
420 SPRING FOREST RD
GREENVILLE, NC 27834
Pathology (Dermatopathology)
420 SPRING FOREST RD
GREENVILLE, NC 27834
Physician Assistant
420 SPRING FOREST RD
GREENVILLE, NC 27834
Dermatology
420 SPRING FOREST RD
GREENVILLE, NC 27834

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 Randall Proctor's NPI number?

The NPI number for Randall Proctor is 1366880304. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Randall Proctor located?

Randall Proctor practices at 420 Spring Forest Rd, Greenville, NC 27834. The listed phone number is (252) 752-4124.

What is Randall Proctor's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Randall Proctor enrolled in Medicare?

Yes. Randall 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 Randall Proctor accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Randall 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.

When was this NPI record last updated?

The NPPES record for Randall Proctor was last updated on August 1, 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.