NPPES file of Aug 9, 2026

Alfred Proto, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Winchester, VA

Alfred Proto, M.D. is a thoracic surgery (cardiothoracic vascular surgery) physician with a practice address in Winchester, Virginia, and NPI 1265627384, issued on Sep 11, 2007. Check the license (Virginia 0101284997, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265627384
Name
Alfred Proto
Credential
M.D.
Primary taxonomy
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License numbers
0101284997 VA
2014-01272 NC
MD449843 PA
MT196091 PA
Self-reported in NPPES; status is on the state search
Practice location
1880 Amherst Street, Winchester, VA 22601
Phone
(540) 536-6721
Enumerated
Sep 11, 2007
Record last updated
Mar 21, 2025
Fax
(540) 536-6724
Medicare enrollment
Enrolled (PECOS I20250324000018); accepts Medicare assignment
Medical or professional school
New York Medical College, 2004
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1880 Amherst Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Daniel Alexander, D.O.Clinical Cardiac Electrophysiology Physician1184841470
  2. Idean AmirjazilCardiovascular Disease Physician1356756795
  3. James Anderson, MDInterventional Cardiology Physician1528002698
  4. Adebayo Atanda, MDAdvanced Heart Failure and Transplant Cardiology Physician1376939280
  5. Lisa Behneke, PACMedical Physician Assistant1801807797
  6. Kaitlyn Betcher, PAMedical Physician Assistant1346980026

Verify Alfred Proto in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101284997
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

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81% fewer Medicare Part D claims than the average thoracic surgery (cardiothoracic vascular surgery) physician in 2024

19 Medicare Part D claims for 11 beneficiaries, against an average of 101 among the 2,587 providers of this specialty who prescribed in Part D.

  1. Alfred Proto19
  2. Specialty average101

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 95.7 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

2 hospitals and group practices

  1. Winchester Medical CenterWinchester, VA · Acute Care Hospitals4 of 5 stars
  2. Valley Physician Enterprise IncWinchester, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Alfred Proto among 133 thoracic surgery (cardiothoracic vascular surgery) physician records in Virginia

Alfred Proto, M.D. is one of 133 thoracic surgery (cardiothoracic vascular surgery) physician records with a practice address in Virginia. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 57% of them.

  • NPI issued2007 · 57% of these records are older, 27% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2004 · median 1997 among the 84 with a school on file
  • Record last updated2025 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208G00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Virginia

There are 133 thoracic surgery (cardiothoracic vascular surgery) physician records in Virginia.

The 8 thoracic surgery (cardiothoracic vascular surgery) physician records with the nearest ZIP codes

  1. Percival Buenaventura, MDWinchester, VA 226011518939552
  2. Ernesto Jimenez, M.D.Winchester, VA 226011851323463
  3. Lindsey Prescher, D.O.Winchester, VA 226011144458449
  4. Shalini Reddy, MDWinchester, VA 226011053432856
  5. John Cardone, MDFredericksburg, VA 224011619945268
  6. Arturo Cardounel, M.D., PH.D.Fredericksburg, VA 224011396150769
  7. Kevin Casey, M.D.Rockingham, VA 228011912078254
  8. Shashank Jolly, M.DRockingham, VA 228011902047814

Common questions

What is Alfred Proto, M.D.'s NPI number?

Alfred Proto, M.D.'s National Provider Identifier (NPI) is 1265627384, issued on Sep 11, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Alfred Proto, M.D. located?

The NPPES record lists a practice address at 1880 Amherst Street, Winchester, VA, 22601. Phone: (540) 536-6721. Providers update this record themselves, so call before visiting.

How can I verify Alfred Proto, M.D.'s license?

NPPES lists Virginia license number 0101284997, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Alfred Proto, M.D. prescribe under Medicare Part D?

In 2024, Alfred Proto, M.D. had 19 Medicare Part D claims for 11 beneficiaries; the average among thoracic surgery (cardiothoracic vascular surgery) physician prescribers was 101. Part D covers Medicare prescriptions only.

What is Alfred Proto, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.