DR. MATTHEW TODD PROCTOR (MD) – Family Medicine Physician, NPI 1164451407

DR. MATTHEW TODD PROCTOR (MD) is a healthcare provider. based in Sulphur springs, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. L3209 (TX). The NPI Number for DR. MATTHEW TODD PROCTOR (MD) is 1164451407

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW TODD PROCTOR (MD)
NPI
1164451407
Phone
(903) 438-4670
Address
115 Airport Rd
Enumeration Date
30 June 2006
Last Update Date
13 February 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
1052362134
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20050207000211
Address ID
TX752846098DAPOXXXBOXX201
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

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. MATTHEW TODD PROCTOR (MD)

  • 115 Airport Rd

    Sulphur Springs, TX 754822105

    Phone: (903) 438-4670

    Type: Location

  • 719 W Coke Rd

    Winnsboro, TX 754943011

    Phone: (903) 342-5227

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752846098

    Phone: (903) 324-6450

    Type: Mailing

  • Trinity Mother Francis Hospital - Jacksonville, 2026, South Jackson Street, Jacksonville, Cherokee County, Texas, 75766, United States

    JACKSONVILLE, TX 757665822

    Phone: (903) 586-5678

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Dexcom, Inc. ($30).

Total Amount

$71

General + Research + Ownership

Payments

3

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2005-02-07

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
I20050207000211IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75482)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Physician AssistantTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Hematology/Oncology, Internal MedicineTX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC

Reviews

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Frequently asked questions

Is there an official ID for DR. MATTHEW TODD PROCTOR (MD) in U.S. healthcare records?
The official identifier for DR. MATTHEW TODD PROCTOR (MD) is NPI 1164451407.
Is DR. MATTHEW TODD PROCTOR (MD) still an active registrant?
DR. MATTHEW TODD PROCTOR (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. MATTHEW TODD PROCTOR (MD)?
DR. MATTHEW TODD PROCTOR (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MATTHEW TODD PROCTOR (MD) located near Sulphur Springs?
DR. MATTHEW TODD PROCTOR (MD) currently maps to Sulphur Springs, Texas in this extract.
Can I trust this NPI listing for DR. MATTHEW TODD PROCTOR (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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