PAUL L PROFFER (M.D.) – Ophthalmology Physician, NPI 1962488676

PAUL L PROFFER (M.D.) is a healthcare provider. based in Amarillo, Texas. specializing in OPHTHALMOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. K3932 (TX). The NPI Number for PAUL L PROFFER (M.D.) is 1962488676

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
PAUL L PROFFER (M.D.)
NPI
1962488676
Phone
(806) 354-4900
Address
1611 WALLACE BLVD
Enumeration Date
15 December 2005
Last Update Date
8 January 2014

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
7113904814
Group Practice PAC ID
3678579232
Professional Enrollment ID
I20061005000052
Address ID
TX791061799AM1611XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

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Provider Addresses for PAUL L PROFFER (M.D.)

  • Wallace Boulevard, Amarillo, Potter County, Texas, 79120, United States

    AMARILLO, TX 791061799

    Phone: (806) 354-4900

    Fax: (806) 352-4987

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $730.

Total Amount is formed as General ($730) + Research ($0) + Ownership ($0) = $730.

Last reported payment date: 2024-10-20 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($409).

Total Amount

$730

General + Research + Ownership

Payments

20

Total payment records

General Amount

$730

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-20

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: 2006-10-05

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
I20061005000052IOphthalmologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths702149$0
17000Destruction of precancer skin growth, 1 growth299209$0
99203New patient office or other outpatient visit, 30-44 minutes279277$0
92285Photography of content of eyes249246$0
99213Established patient office or other outpatient visit, 20-29 minutes199161$0
View full utilization report →

Insurance plans in this area (ZIP 79106)

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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: 3678579232View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
Nurse PractitionerTX
D E R M A T O L O G YTX
Plastic And Reconstructive SurgeryTX

Reviews

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Frequently asked questions

What federal number belongs to PAUL L PROFFER (M.D.)?
The federal identifier for PAUL L PROFFER (M.D.) is NPI 1962488676.
Is PAUL L PROFFER (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does PAUL L PROFFER (M.D.) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for PAUL L PROFFER (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for PAUL L PROFFER (M.D.)?
We surface Amarillo, Texas for PAUL L PROFFER (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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