BRIAN LOWELL PROCTOR DO
NPI 1659867596
Pediatrics in Columbia, MO
About Brian Lowell Proctor Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN LOWELL PROCTOR DO (NPI 1659867596) is an individual pediatrics provider in Columbia, Missouri, licensed in Missouri (2018020641) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brian Lowell Proctor Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Brian Proctor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Walla Walla, WA 99362
- Reassigned Medicare billing, Washington enrollment
- 232 clinicians in this Medicare group
Elma, WA 98541
- Reassigned Medicare billing, Washington enrollment
- 190 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brian Proctor's NPI number?
The NPI number for Brian Proctor is 1659867596. It was assigned to this individual provider in the NPPES registry on July 3, 2018.
Where is Brian Proctor located?
Brian Proctor practices at 404 N Keene St, Columbia, MO 65201. The listed phone number is (573) 882-4438.
What is Brian Proctor's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Brian Proctor enrolled in Medicare?
Yes. Brian Proctor is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brian Proctor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Proctor reassigns Medicare benefits to 2 organizations: Prosser Public Hospital District Of Benton County (Walla Walla, WA) and Grays Harbor Community Hospital (Elma, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Proctor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Proctor accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Brian 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 Brian Proctor was last updated on July 3, 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.
# Brian Lowell Proctor, DO · NPI 1659867596
Pediatrics physician in Columbia, Missouri. Individual provider, active in the CMS NPPES registry since July 3, 2018.
## Identity
- **NPI:** 1659867596 (Entity type: Individual)
- **Enumerated:** July 3, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2018020641 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 404 N KEENE ST, Columbia, MO 65201-6626
- **Phone:** (573) 882-4438 · **Fax:** (573) 884-9992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prosser Public Hospital District Of Benton County (NPI 1518770155, Walla Walla, WA); Grays Harbor Community Hospital (NPI 1073763314, Elma, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1659867596) · Data from the CMS NPPES public registry.