Patrick Jonathan Proffer, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

M0532 Issued in TX

Practice address

1611 Wallace Blvd
Amarillo, TX 79106-1799

Phone

(806) 352-1185

Fax

(806) 352-4987

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Plastic and Reconstructive Surgery

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proffer Surgical Associates, LLPGroup PAC ID 3678579232, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.35 of 100Reported as group

Quality

94.17

Promoting interoperability

94

Improvement activities

40

Cost

68.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGBCAA

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

• Proffer Surgical Associates, LLP

  • MOHS-Micrographic Surgery Physician
  • Amarillo, TX
  • NPI 1164441333
  Medicare reassignment Care Compare group NPD
• Jaime R. Garza, M.D., D.D.S., P.a.

  dba Texas Plastic Surgery

  • Specialist
  • San Antonio, TX
  • NPI 1689678575
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1952399206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "806-352-1185",
            "fax_number": "806-352-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "806-352-1185",
            "fax_number": "806-352-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFER",
        "first_name": "PATRICK",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M0532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174819602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBS/RAILROAD MEDICARE",
            "identifier": "P00418009",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Physical Therapy Services LLC (Advanced Health Systems)
• Professional Solutions
• Proffer Surgical Associates, LLP
• Proffer Surgical Center, PLLC
• Liana H Proffer, MD
• Paul L Proffer, M.D.
• Progressive Step Corp (Progressive Step Rehabilitation Services)
• Prostep at Amarillo
• Jarryn Prowell
• Proz Anesthesia, PLLC

• Plastic and Reconstructive Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.