KERRY ANNE SCULLY PROCTOR (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1235353863

KERRY ANNE SCULLY PROCTOR (MD) is a healthcare provider. based in The dalles, Oregon. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 36695 (IA). The NPI Number for KERRY ANNE SCULLY PROCTOR (MD) is 1235353863

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KERRY ANNE SCULLY PROCTOR (MD)
NPI
1235353863
Phone
(541) 296-1111
Address
1700 E 19TH ST
Enumeration Date
13 April 2007
Last Update Date
14 December 2007

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
5412961111
Graduation Year
2001 (25 years ago)
PAC ID
2769570704
Group Practice PAC ID
3779487251
Professional Enrollment ID
I20071108000588
Address ID
OR970583317TH1700XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

191 PATHOLOGY in OR

Provider Addresses for KERRY ANNE SCULLY PROCTOR (MD)

  • 1700 E 19TH ST

    THE DALLES, OR 970583317

    Phone: (541) 296-1111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2007-11-08

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
I20071108000588IPathologyORTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity806269$0
88344Special stained specimen slides to examine tissue, each multiplex procedure14151$0
88341Special stained specimen slides to examine tissue, each additional procedure9327$0
88307Pathology examination of tissue using a microscope, moderately high complexity8242$0
88342Special stained specimen slides to examine tissue, initial procedure6547$0
View full utilization report →

Insurance plans in this area (ZIP 97058)

Loading plans...

Provider's Procedures

KERRY ANNE SCULLY PROCTOR (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYOR88304Pathology examination of tissue using a microscope, moderately low complexity3231
PATHOLOGYOR88307Pathology examination of tissue using a microscope, moderately high complexity6742
PATHOLOGYOR88342Tissue or cell analysis by immunologic technique6355

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: 3779487251View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find KERRY ANNE SCULLY PROCTOR (MD)'s NPI?
You can confirm KERRY ANNE SCULLY PROCTOR (MD) with NPI 1235353863; it appears in the national provider directory.
Does this profile mean KERRY ANNE SCULLY PROCTOR (MD) is currently active?
Yes — KERRY ANNE SCULLY PROCTOR (MD) appears active in the national provider directory.
What does KERRY ANNE SCULLY PROCTOR (MD) treat or focus on?
Patients typically see KERRY ANNE SCULLY PROCTOR (MD) under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location shows for KERRY ANNE SCULLY PROCTOR (MD)?
We surface The Dalles, Oregon for KERRY ANNE SCULLY PROCTOR (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MR. ARTHUR VANEATON (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Mid Columbia Medical Center, 1700, East 19th Street, The Dalles, Wasco County, Oregon, 97058, United States
NPI: 1700854775

MR. STEVEN ELLIOT KOLKER (MD)

Anatomic Pathology & Clinical Pathology Physician
1815 E 19th St Ste B
NPI: 1598726457

HAHN HUANG (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Mid Columbia Medical Center, 1700, East 19th Street, The Dalles, Wasco County, Oregon, 97058, United States
NPI: 1841361482

VASSIL KAIMAKTCHIEV (M.D.)

Anatomic Pathology & Clinical Pathology Physician
810 12TH ST # 810
NPI: 1720284623

COLUMBIA GORGE PATHOLOGY ASSOCIATES, LLP

Anatomic Pathology & Clinical Pathology Physician
Mid Columbia Medical Center, 1700, East 19th Street, The Dalles, Wasco County, Oregon, 97058, United States
NPI: 1457532517