DR. CHARLES DANIEL PROCTER JR. MD
NPI 1598780488
Surgery in Atlanta, GA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
371 E PACES FERRY RD NE STE 750, ATLANTA, GA 30305(470) 419-4380(470) 298-7736 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2022, Feb 1, 2022, Mar 25, 2021 and 6 more (9 updates tracked since 2017).

About Dr. Charles Daniel Procter Jr. Md NPPES

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

DR. CHARLES DANIEL PROCTER JR. MD (NPI 1598780488) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (059108) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2002).

NPPES Registry Identity

NPI1598780488
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CHARLES DANIEL PROCTER JR.Credential: MD
Location Address371 E PACES FERRY RD NE STE 750Atlanta, GA 30305-2372
Mailing Address2110 Powers Ferry Rd Se Ste 302Atlanta, GA 30339-5015 · (470) 419-4380 · Fax (470) 298-7736
Fax(470) 298-7736
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2002
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 19, 20229 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
NPI 1598780488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 059108
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
371 E PACES FERRY RD NE STE 750, Atlanta, GA 30305

Other Names 1

Other Name (5)Dr. Charley Daniel Procter Md

Other Identifiers 4

Other7992557GA · Cigna
Other9243155GA · Aetna
Other52222643GA · Bcbs
Other52222643GA · Bc/bs Of Georgia

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. Charles Daniel Procter Jr. 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 ID5496855587
PECOS Enrollment IDI20070702000401
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 3

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.
111 services53 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.
104 services42 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
79 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30305 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%109 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.61 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims660 services$1.51 avg. paid by Medicare
Irrigation supply; sleeve, reusable, per month A4436
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims54 services$5.54 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 9

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

Preventive Medicine (Obesity Medicine)
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 30305
Nurse Practitioner
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 30305
Physician Assistant
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 30305
Clinic/Center (Primary Care)
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 30305
Surgery
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 30305
Surgery
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 30305
Dietitian, Registered
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 30305
Nurse Practitioner (Family)
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 30305

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 Charles Procter's NPI number?

The NPI number for Charles Procter is 1598780488. It was assigned to this individual provider in the NPPES registry on July 13, 2006. The provider is also known as Dr. Charley Daniel Procter MD.

Where is Charles Procter located?

Charles Procter practices at 371 E Paces Ferry Rd NE Ste 750, Atlanta, GA 30305. The listed phone number is (470) 419-4380.

What is Charles Procter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Procter enrolled in Medicare?

Yes. Charles Procter 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 Charles Procter accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Charles Procter 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 Charles Procter was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.