CHARLES DANIEL PROCTER SR. MD
NPI 1457369258
Surgery - Vascular Surgery in Jacksonville, FL

Q: What is Charles Procter's NPI number?

The NPI number for Charles Procter is 1457369258. It was assigned to this individual provider in the NPPES registry on August 4, 2006. The provider is also known as C Dan Procter MD.

Q: What is Charles Procter's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Charles Procter was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 August 04, 2006PECOS EnrolledAccepts Medicare Assignment

76.58/100

CMS Quality Rating

8767 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216(904) 402-8346(904) 402-8347 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, May 13, 2021, Mar 7, 2019 and 2 more (5 updates tracked since 2018).

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About Charles Daniel Procter Sr. Md NPPES

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

CHARLES DANIEL PROCTER SR. MD (NPI 1457369258) is an individual vascular surgery provider in Jacksonville, Florida, licensed in Georgia (035736) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1978).

NPPES Registry Identity

NPI1457369258

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameCHARLES DANIEL PROCTER SR.Credential: MD

Location Address8767 PERIMETER PARK BLVDJacksonville, FL 32216-5479

Mailing Address1824 King St Ste 200Jacksonville, FL 32204-4736 · (904) 384-3343 · Fax (904) 400-6671

Phone(904) 402-8346

Fax(904) 402-8347

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1978

Enumeration DateAugust 4, 2006

Last NPPES UpdateMarch 31, 20255 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1457369258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in GA · 035736

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

8767 PERIMETER PARK BLVD, Jacksonville, FL 32216

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Other Names 1

Other Name (5)C Dan Procter Md

Other Identifiers 11

Medicaid000502873KGA

Other592947GA · Bcbs

Other1708262GA · Wellcare

Medicaid000502873JGA

Medicaid000502873MGA

Medicaid000502873TGA

Other01338970GA · Amerigroup

Medicaid000502873IGA

Medicaid000502873RGA

Medicaid000502873SGA

Other544229GA · Wellcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Charles Daniel Procter Sr. 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 ID3870537285

PECOS Enrollment IDI20240119003019

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 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

44 services44 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.

41 services34 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

38 services30 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

29 services18 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.

25 services17 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

76.58/100

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

Scored as part of a group practice

Quality

85.63

Promoting Interoperability

Improvement Activities

Cost

72.14

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Other Providers at the Same Location NPPES 10

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

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