DR. LINDA R PROCTOR (MD) – Diagnostic Radiology Physician, NPI 1629082284

DR. LINDA R PROCTOR (MD) is a healthcare provider. based in St louis, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 105809 (MO). The NPI Number for DR. LINDA R PROCTOR (MD) is 1629082284

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. LINDA R PROCTOR (MD)
NPI
1629082284
Phone
(314) 996-5180
Address
3015 N NEW BALLAS RD
Enumeration Date
28 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31436272001
Graduation Year
1989 (37 years ago)
PAC ID
0547233470
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20040818000253
Address ID
MO631101016SA510XXBLVD400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,218 DIAGNOSTIC RADIOLOGY in MO

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Provider Addresses for DR. LINDA R PROCTOR (MD)

  • North New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    ST LOUIS, MO 63131

    Phone: (314) 996-5180

    Fax: (314) 821-2180

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 996-5170

    Fax: (314) 996-4261

    Type: Mailing

  • 660 S EUCLID AVE

    CB 8131

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Mailing

  • 3015 N BALLAS RD

    DEPT RADIOLOGY

    SAINT LOUIS, MO 631312329

    Phone: (314) 996-5170

    Fax: (314) 996-4261

    Type: Location

  • Westport Plaza, Maryland Heights, Saint Louis County, Missouri, United States

    SUITE 300

    SAINT LOUIS, MO 631463109

    Phone: (314) 548-4772

    Fax: (314) 548-4748

    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: 2004-08-18

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
I20040818000253IDiagnostic RadiologyMOTBD

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
77067Screening mammography1,7621,762$0
77063Screening 3d breast mammography1,7601,760$0
74177Ct scan of abdomen and pelvis with contrast862754$0
71260Ct scan of chest with contrast538450$0
71250Ct scan of chest without contrast464414$0
View full utilization report →

Insurance plans in this area (ZIP 63131)

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Provider's Procedures

DR. LINDA R PROCTOR (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMO20610Aspiration and/or injection of large joint or joint capsule1817
DIAGNOSTIC RADIOLOGYMO71010X-ray of chest, 1 view, front1045768
DIAGNOSTIC RADIOLOGYMO71250CT scan chest109104
DIAGNOSTIC RADIOLOGYMO73110X-ray of wrist, minimum of 3 views2120
DIAGNOSTIC RADIOLOGYMO74177CT scan of abdomen and pelvis with contrast225218
DIAGNOSTIC RADIOLOGYMO76830Ultrasound pelvis through vagina1919
DIAGNOSTIC RADIOLOGYMO78815Nuclear medicine study with CT imaging skull base to mid-thigh2525

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: 9830008770View full group profile

Reviews

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Frequently asked questions

What is DR. LINDA R PROCTOR (MD)'s NPI number?
DR. LINDA R PROCTOR (MD)'s NPI is 1629082284 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. LINDA R PROCTOR (MD)?
You should see DR. LINDA R PROCTOR (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. LINDA R PROCTOR (MD)'s focus?
For DR. LINDA R PROCTOR (MD), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LINDA R PROCTOR (MD)?
Directory geography for DR. LINDA R PROCTOR (MD) centers on St Louis, Missouri.
Does DR. LINDA R PROCTOR (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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