JOSEPH E PROCTOR (PA) – Medical Physician Assistant, NPI 1578542627

JOSEPH E PROCTOR (PA) is a healthcare provider. based in Kissimmee, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA 9103407 (FL). The NPI Number for JOSEPH E PROCTOR (PA) is 1578542627

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH E PROCTOR (PA)
NPI
1578542627
Phone
(407) 348-0990
Address
2551 BOGGY CREEK RD
Enumeration Date
16 January 2006
Last Update Date
25 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075544591
Graduation Year
1983 (43 years ago)
PAC ID
3274549886
Group Practice PAC ID
8921372558
Professional Enrollment ID
I20060306000347
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for JOSEPH E PROCTOR (PA)

  • 2551, Simpson Road, Kissimmee, Osceola County, Florida, 34744, United States

    KISSIMMEE, FL 347443806

    Phone: (407) 348-0990

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060306000347IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1818$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
81003Automated urinalysis test1111$0
View full utilization report →

Insurance plans in this area (ZIP 34744)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921372558View full group profile

Reviews

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Frequently asked questions

What is the standard ID for JOSEPH E PROCTOR (PA) in the U.S.?
In the U.S., JOSEPH E PROCTOR (PA) is identified by NPI 1578542627.
Quick check: is JOSEPH E PROCTOR (PA) active?
Public NPPES data shows JOSEPH E PROCTOR (PA) with an active NPI status right now.
What does the directory say JOSEPH E PROCTOR (PA) does?
Insurance directories may phrase it differently, but here JOSEPH E PROCTOR (PA) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JOSEPH E PROCTOR (PA)?
JOSEPH E PROCTOR (PA) shows a connection to Kissimmee, Florida in registry-derived data.
Why is information missing for JOSEPH E PROCTOR (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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