DR. GARY MILLER PROULX M.D. NPI 1194798165

NPI Information

  • NPI: 1194798165
  • Provider Name: DR. GARY MILLER PROULX, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 70 EAST ST
    METHUEN, MA
    ZIP 01844
  • Phone: (978) 687-0151

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NPI Details

DR. Gary Miller Proulx, M.D. is a radiation oncology radiology in Methuen, MA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Gary Miller Proulx, M.D. NPI is 1194798165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

70 EAST ST
METHUEN, MA
ZIP 01844-597
Phone: (978) 687-0151

The NPI 1194798165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS:G6013)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • Complex radiation therapy planning (HCPCS:77263)
  • High precision radiation therapy planning (HCPCS:77301)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • X-ray during radiation therapy (HCPCS:77417)
  • Special medical radiation therapy consultation (HCPCS:77370)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 11/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation Oncology206678-1NEW YORKYes
22085R0001XRadiologyRadiation OncologyMD419971PENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00362286OTHERNEW YORKRR MEDICARE PIN
2CC9269OTHERPENNSYLVANIARR MEDICARE GROUP
30016314520003MEDICAIDPENNSYLVANIA
401753942MEDICAIDNEW YORK
5920007329OTHERPENNSYLVANIARR MEDICARE PIN
6CC8362OTHERNEW YORKRR MEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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