MR. DONALD GRAHAM PROUTY (M.D.) – Family Medicine Physician, NPI 1194765198

MR. DONALD GRAHAM PROUTY (M.D.) is a healthcare provider. based in Ithaca, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301041429 (MI). The NPI Number for MR. DONALD GRAHAM PROUTY (M.D.) is 1194765198

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
MR. DONALD GRAHAM PROUTY (M.D.)
NPI
1194765198
Phone
(989) 875-3722
Address
820 N PINE RIVER ST
Enumeration Date
7 June 2006
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
8022905678
Professional Enrollment ID
I20040301000161
Address ID
MI486700001MI4000XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for MR. DONALD GRAHAM PROUTY (M.D.)

  • 820 N PINE RIVER ST

    ITHACA, MI 48847

    Phone: (989) 875-3722

    Fax: (989) 875-3732

    Type: Mailing

  • 330, East Warwick Drive, Alma, Gratiot County, Michigan, 48801, United States

    ALMA, MI 488011014

    Phone: (989) 629-8140

    Fax: (989) 629-8145

    Type: Mailing

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: 2004-03-01

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
I20040301000161IFamily PracticeMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14075$0
99213Established patient office or other outpatient visit, 20-29 minutes9156$0
36415Insertion of needle into vein for collection of blood sample8947$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6124$0
99215Established patient office or other outpatient visit, 40-54 minutes2117$0
View full utilization report →

Insurance plans in this area (ZIP 48847)

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Reviews

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Frequently asked questions

Does MR. DONALD GRAHAM PROUTY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. DONALD GRAHAM PROUTY (M.D.) uses 1194765198.
Is MR. DONALD GRAHAM PROUTY (M.D.) still practicing?
MR. DONALD GRAHAM PROUTY (M.D.) is currently listed as active in the public NPI registry.
What is MR. DONALD GRAHAM PROUTY (M.D.) best known for clinically?
Directory data describes MR. DONALD GRAHAM PROUTY (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MR. DONALD GRAHAM PROUTY (M.D.) on a map?
Expect Ithaca, Michigan as a primary anchor for MR. DONALD GRAHAM PROUTY (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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