MATTHEW T. PROCTOR MD – NPI #1164451407
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MATTHEW PROCTOR is a physician located in JACKSONVILLE, TX. NPPES has assigned the NPI number 1164451407 to MATTHEW PROCTOR on June 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Feb 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MATTHEW PROCTOR below.

NPI Profile for
MATTHEW T. PROCTOR

NPI Number
1164451407
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MATTHEW T. PROCTOR
Credentials
MD
Primary location
2026 S JACKSON ST
JACKSONVILLE, TX 75766-5822
Phone: (903) 586-5678 Fax:
2 Other location(s):
115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone: (903) 438-4670
719 W Coke Rd
Winnsboro, TX 75494-3011
Phone: (903) 342-5227
Mailing address
PO BOX 846098
DALLAS, TX 75284-6098
Phone: (903) 324-6450 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Feb 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MATTHEW PROCTOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBS BLUETX8DZ886
otherRAIL ROADTXP00688868
otherRAIL ROADTXP01304431
otherTRICARETX75-2616977-113
otherTRICARETX75-2616977-002
otherTRICARETX752616977113
medicaidTX152404312
medicaidTX160029802
medicaidTX160029801
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 TX L3209

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MATTHEW PROCTOR is affiliated with the following medical group(s):
  • HOSPITAL
    • CHRISTUS MOTHER FRANCES HOSPITAL
      800 EAST DAWSON
      TYLER, TX 75701
    • CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE
      2026 S JACKSON STREET
      JACKSONVILLE, TX 75766
  • HOME HEALTH AGENCY
    • AT HOME HEALTHCARE
      506 HWY 79 NORTH
      HENDERSON, TX 75652
    • CHRISTUS HOMECARE
      821 E SOUTHEAST LOOP 323 SUITE 560
      TYLER, TX 75701

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.