CHARLES DANIEL SR. PROCTER (MD) – Vascular Surgery Physician, NPI 1457369258
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
218 VASCULAR SURGERY in GA
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Provider Addresses for CHARLES DANIEL SR. PROCTER (MD)
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (770) 718-1122
Fax: (770) 533-4786
Type: Mailing
Longstreet Cancer Center, 725, Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305013834
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
1824 KING ST STE 200
JACKSONVILLE, FL 322044736
Phone: (904) 384-3343
Fax: (904) 400-6671
Type: Mailing
8767 PERIMETER PARK BLVD
JACKSONVILLE, FL 322165479
Phone: (904) 402-8346
Fax: (904) 402-8347
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $224.
Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($133).
Total Amount
$224
General + Research + Ownership
Payments
6
Total payment records
General Amount
$224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $133 |
| Inari Medical, Inc. | $54 |
| GlaxoSmithKline, LLC. | $24 |
| Janssen Pharmaceuticals, Inc | $13 |
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: 2024-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100616000551 | I | Vascular Surgery | GA | TBD |
| I20240119003019 | I | Vascular Surgery | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 40 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 25 | 25 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 20 | 20 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 18 | 18 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery | FL | |
| Vascular Surgery | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Vascular Surgery | FL | |
| Thoracic Surgery, Cardiac Surgery | GA | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | TX | |
| Thoracic Surgery, Cardiac Surgery | GA |
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