Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457369258 Individual Practitioner Male Practitioner

Dr. Charles Daniel Procter , MD

Surgery - Vascular Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Procter, MD is a certified Surgery - Vascular Surgery practicing in Jacksonville, FL. With approximately 48 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1978, Dr. Procter delivers high-quality medical care to the local community at 8767 PERIMETER PARK BLVD.

Dr. Procter is affiliated with Cardiothoracic And Vascular Surgical Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, injection of chemical agent into multiple incompetent veins of leg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8767 Perimeter Park Blvd

Jacksonville, FL 322165479

Telephone 9044028346
Fax 9044028347
Associated Practice Facility / Clinic
🏢 Brasa Surgery Center, Llc Facility NPI 1437347416

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
48 Yrs +24.4 yrs vs City Avg
City Avg: 23.6 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Jacksonville, FL (412 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Procter (48 Years) 48 Yrs
Jacksonville Specialty Average (23.6 Years) 23.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
44 44 $667.00 $164.00
99213 Established patient office or other outpatient visit, typically 15 minutes
41 34 $359.00 $88.35
36471 Injection of chemical agent into multiple incompetent veins of leg
38 30 $1464.47 $276.17
36475 Destruction of insufficient vein of arm or leg, accessed through the skin
29 18 $4258.00 $939.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 17 $509.00 $124.73
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
23 22 $225.30 $55.58

Medical Specialties & State Licenses

CMS Verified: 2025-03-31
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License GA 035736

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000502873K (GA)
Medicaid State Provider ID
000502873T (GA)
Medicaid State Provider ID
000502873I (GA)
Medicaid State Provider ID
000502873R (GA)
Medicaid State Provider ID
000502873S (GA)
Medicaid State Provider ID
000502873J (GA)
Medicaid State Provider ID
000502873M (GA)
Commercial Insurance / Payer ID Bcbs
592947 (GA)
Commercial Insurance / Payer ID Wellcare
1708262 (GA)
Commercial Insurance / Payer ID Wellcare
544229 (GA)

Hospital & Practice Group Affiliations

Cardiothoracic And Vascular Surgical Associates Pa

8767 Perimeter Park Blvd, Jacksonville, FL 322165479

Phone: 9048677270

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Tanya Dilmuth , ARNP

Nurse Practitioner - Adult Health

NPI 1013391994

Advanced Registered Nurse Practitioner

Whitney Dostie , APRN

Nurse Practitioner

NPI 1033983846

Advanced Practice Registered Nurse

Jenna Marshall , PA

Physician Assistant

NPI 1093364051

Physician Assistant

Tulin Rogers , PA

Physician Assistant

NPI 1184143554

Physician Assistant

Melissa Derr , PA-C

Physician Assistant - Medical

NPI 1487128609

Physician Assistant (Certified)

NPI 1518930577

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 31, 2025

Registered at 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL 322165479 (Tel: 9044028346)

📍
Updated Business Mailing Address March 31, 2025

Registered at 1824 KING ST STE 200, JACKSONVILLE, FL 322044736 (Tel: 9043843343)

NPI Profile Active December 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2012

Registered at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013834 (Tel: 7705340110)

📍
Updated Business Mailing Address December 05, 2012

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

👤
Provider Name / Credentials Updated December 05, 2012

Recorded as CHARLES PROCTER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2012

Surgery (License #035736 in GA)

🟢
Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457369258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: March 31, 2025
Sole Proprietor: No

Mailing Address

1824 King St Ste 200

Jacksonville, FL 322044736

Phone: 9043843343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.