Individual provider Active NPI

Vincent B Proy, MD

  • Family Medicine Physician
  • Corry, PA
National Provider Identifier
1023270741
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD437999 Issued in PA
Practice address
315 York St
Medical Group of Corry, Inc
Corry, PA 16407-1412
Phone
(814) 664-8686
Fax
(814) 664-9826
NPI assigned
Jun 25, 2008
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A106264 CA
Family Medicine Physician 207Q00000X MD437999 PA Primary
Hospitalist Physician 208M00000X MD437999 PA

Addresses

Primary practice location

315 York St
Medical Group of Corry, Inc
Corry, PA 16407-1412

Mailing address

315 York St
Medical Group of Corry, Inc
Corry, PA 16407-1412
Phone (814) 664-8686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bproy148911@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000133 PA Practitioner - Family Practice 5991820615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 York St
Corry, PA 16407-1412
Phone (814) 664-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106264CAMDFamily Medicine Physician
MD437999PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Jan 1, 2015 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

315 York St
Corry, PA 16407
Phone (814) 664-8686

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

4950 Buffalo Rd
Erie, PA 16510
Phone (814) 898-2576

Interoperability endpoints

  • Direct secure messaging: bproy148911@direct.ahn.org
  • Direct secure messaging: vproy148912@direct.ahn.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1023270741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "address_2": "MEDICAL GROUP OF CORRY, INC",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "address_2": "MEDICAL GROUP OF CORRY, INC",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROY",
        "first_name": "VINCENT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A106264",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD437999",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD437999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bproy148911@direct.ahn.org",
            "affiliation": "N",
            "address_1": "315 York St",
            "address_2": "Medical Group of Corry, Inc",
            "city": "Corry",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164071412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

Verify at the official NPI Registry.