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GARY PROFFETT M.D.
NPI 1932254570
General Practice in Rancho Mirage, CA

Active since January 24, 2007PECOS Enrolled
46 CALLE DEL NORTE, RANCHO MIRAGE, CA 92270(805) 658-2552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Proffett M.d. NPPES

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

GARY PROFFETT M.D. (NPI 1932254570) is an individual general practice provider in Rancho Mirage, California, licensed in California (A31780) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932254570
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameGARY PROFFETTCredential: M.D.
Location Address46 CALLE DEL NORTERancho Mirage, CA 92270-5210
Mailing Address46 Calle Del NorteRancho Mirage, CA 92270-5210
Phone(805) 658-2552
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932254570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A31780
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
46 CALLE DEL NORTE, Rancho Mirage, CA 92270
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Other Identifiers 3

Medicare ID-Type UnspecifiedWA31780ACA
Medicaid00A317800CA
Medicare UPINA26598

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Proffett M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
4 suppliers15 claims449 services$3.97 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
4 suppliers15 claims7,124 services$0.31 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
3 suppliers16 claims16 services$52.12 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers17 claims17 services$14.54 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$15.43 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$5.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gary Proffett's NPI number?

The NPI number for Gary Proffett is 1932254570. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Gary Proffett located?

Gary Proffett practices at 46 Calle Del Norte, Rancho Mirage, CA 92270. The listed phone number is (805) 658-2552.

What is Gary Proffett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gary Proffett enrolled in Medicare?

Yes. Gary Proffett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Proffett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.