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RICHARD M PROENZA PA-C
NPI 1982693024
Physician Assistant - Surgical in Vidalia, GA

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
68.85/100
CMS Quality Rating
3301 E 1ST ST, SUITE A, VIDALIA, GA 30474(912) 537-4411(912) 538-8485 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard M Proenza Pa-c NPPES

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

RICHARD M PROENZA PA-C (NPI 1982693024) is an individual surgical provider in Vidalia, Georgia, licensed in Georgia (004304) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Health Meadows Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1982693024
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRICHARD M PROENZACredential: PA-C
Location Address3301 E 1ST ST, SUITE AVidalia, GA 30474-8674
Mailing Address3301 E 1st St, Suite AVidalia, GA 30474-8674 · (912) 537-4411 · Fax (912) 538-8485
Phone(912) 537-4411
Fax(912) 538-8485
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 20, 2005
Last NPPES UpdateOctober 3, 2013
✔ NPI 1982693024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 004304
3301 E 1ST ST, Vidalia, GA 30474
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified97WCFKJGA
Medicare UPINQ11919
Medicaid954937257EGA
Medicaid954937257FGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Richard M Proenza Pa-c 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 ID8123019080
PECOS Enrollment IDI20040519001394
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 5

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
53 services52 patients
Partial removal of collar bone at shoulder using an endoscope 29824
This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.
18 services18 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
17 services17 patients
Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
17 services17 patients
Release of tendon connecting biceps muscle and shoulder using an endoscope 29828
This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Optim Medical Center - Tattnall

Critical Access Hospitals · Reidsville, GA
OwnershipProprietary
CMS Certification Number111323
Location247 S Main StreetReidsville, GA 30453 · Tattnall County
Emergency services

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.

68.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.68
Promoting Interoperability90
Improvement Activities40
Cost51.81

Other Providers at the Same Location NPPES 2

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

MARK SPIVEY ORTHOPEDIC CLINIC, LLC
Orthopaedic Surgery
3301 E 1ST ST, STE A
VIDALIA, GA 30474
Toombs County (912) 537-4411
CHRISTIAN ANDREW RAY PT, DPT, CSCS
Physical Therapist
3301 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-4411

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 Richard Proenza's NPI number?

The NPI number for Richard Proenza is 1982693024. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Richard Proenza located?

Richard Proenza practices at 3301 E 1st St Suite A, Vidalia, GA 30474. The listed phone number is (912) 537-4411.

What is Richard Proenza's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Richard Proenza enrolled in Medicare?

Yes. Richard Proenza 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 Richard Proenza 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 Richard Proenza 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.

Is Richard Proenza affiliated with any hospitals?

According to CMS data, Richard Proenza is affiliated with Memorial Health Meadows Hospital and Optim Medical Center - Tattnall.

When was this NPI record last updated?

The NPPES record for Richard Proenza was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.