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DR. DANIEL JOSEPH PROCTOR MD
NPI 1861999427
Family Medicine in Merced, CA

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
77.48/100
CMS Quality Rating
333 MERCY AVE, MERCED, CA 95340(209) 564-5000 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2021, Jun 10, 2021, Apr 10, 2018 (3 updates tracked since 2018).

About Dr. Daniel Joseph Proctor Md NPPES

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

DR. DANIEL JOSEPH PROCTOR MD (NPI 1861999427) is an individual family medicine provider in Merced, California, licensed in California (A167198) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861999427
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL JOSEPH PROCTORCredential: MD
Location Address333 MERCY AVEMerced, CA 95340-8319
Mailing Address373 E Shaw Ave # 389Fresno, CA 93710-7609
Phone(209) 564-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 10, 2018
Last NPPES UpdateAugust 4, 20213 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1861999427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A167198
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License A167198 (CA)
333 MERCY AVE, Merced, CA 95340
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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. Daniel Joseph 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 ID4587068648
PECOS Enrollment IDI20210811002456
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
366 services355 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95340 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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.

77.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.81
Improvement Activities40
Cost50.6

Referred Medical Equipment & Supplies CMS DME claims 2

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$100.00 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 20

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

ALOK SHUKLA M.D.
Anesthesiology
333 MERCY AVE
MERCED, CA 95340
Merced County (209) 564-5000
DR. JOHN WILLIAM MCNEIL II M.D.
Emergency Medicine
333 MERCY AVE
MERCED, CA 95340
Merced County (209) 564-5000
MA LOVELY BATASIN DO
Emergency Medicine
333 MERCY AVE
MERCED, CA 95340
Merced County (209) 564-5000
JACOB GERALD
Physician Assistant
333 MERCY AVE
MERCED, CA 95340
Merced County (209) 564-5000
MRS. CECILIA JEANNY JANG PA-C
Physician Assistant (Medical)
333 MERCY AVE, EMERGENCY DEPARTMENT
MERCED, CA 95340
Merced County (209) 564-5153
OMAR SOHA
Family Medicine
333 MERCY AVE
MERCED, CA 95340
Merced County (209) 564-3500
DR. ANAHIT PETROSYAN M.D.
Student in an Organized Health Care Education/Training Program
333 MERCY AVE
MERCED, CA 95340
Merced County (209) 564-5000
MRS. ADAOBI JULIET OKECHUKWU MD
Student in an Organized Health Care Education/Training Program
333 MERCY AVE
MERCED, CA 95340
Merced County (209) 564-5000

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 Daniel Proctor's NPI number?

The NPI number for Daniel Proctor is 1861999427. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Daniel Proctor located?

Daniel Proctor practices at 333 Mercy Ave, Merced, CA 95340. The listed phone number is (209) 564-5000.

What is Daniel Proctor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Proctor enrolled in Medicare?

Yes. Daniel 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.

When was this NPI record last updated?

The NPPES record for Daniel Proctor was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.