MR. ERRON CODY PROCTOR (PAC) – Medical Physician Assistant, NPI 1427067859

MR. ERRON CODY PROCTOR (PAC) is a healthcare provider. based in Konawa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 1410 (OK). The NPI Number for MR. ERRON CODY PROCTOR (PAC) is 1427067859

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. ERRON CODY PROCTOR (PAC)
NPI
1427067859
Phone
(580) 925-3286
Address
PO BOX 358
Enumeration Date
5 August 2006
Last Update Date
19 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5809253286227
Graduation Year
2004 (22 years ago)
PAC ID
5395791966
Group Practice PAC ID
9931189685
Professional Enrollment ID
I20100521000421
Address ID
OK748491415KO527XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for MR. ERRON CODY PROCTOR (PAC)

  • PO BOX 358

    527 WEST 3RD ST

    KONAWA, OK 74849

    Phone: (580) 925-3286

    Fax: (580) 925-9149

    Type: Mailing

  • 527 W 3RD ST

    KONAWA, OK 748491415

    Phone: (580) 925-3286

    Fax: (580) 925-2362

    Type: Location

  • 527, West 3rd Street, Konawa, Seminole County, Oklahoma, 74849, United States

    KONAWA, OK 74849

    Phone: (580) 925-3286

    Fax: (580) 925-2362

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($82).

Total Amount

$172

General + Research + Ownership

Payments

10

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-05-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050523000253IPhysician AssistantOKTBD
I20100521000421IPhysician AssistantTXTBD

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
96372Injection of drug or substance under skin or into muscle18436$0
80053Blood test, comprehensive group of blood chemicals165106$0
J2426Injection, paliperidone palmitate extended release (invega sustenna), 1 mg14222$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count11580$0
80061Blood test, lipids (cholesterol and triglycerides)11086$0
View full utilization report →

Insurance plans in this area (ZIP 74849)

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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: 9931189685View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Family PracticeOK
Family Practice, Osteopathic Manipulative Medicine, Sports MedicineOK
Family PracticeOK
Nurse PractitionerOK
Physician AssistantOK
Endocrinology, Internal MedicineOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I use this page to confirm MR. ERRON CODY PROCTOR (PAC)'s NPI?
Yes. MR. ERRON CODY PROCTOR (PAC) is listed with NPI 1427067859 in the public NPI dataset.
Is MR. ERRON CODY PROCTOR (PAC) still practicing?
MR. ERRON CODY PROCTOR (PAC) is currently listed as active in the public NPI registry.
What is MR. ERRON CODY PROCTOR (PAC) best known for clinically?
Directory data describes MR. ERRON CODY PROCTOR (PAC) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. ERRON CODY PROCTOR (PAC) list a practice location?
Patients near Konawa, Oklahoma may find MR. ERRON CODY PROCTOR (PAC) in results; validate coverage separately.
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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