CHAD J PURDOM (M.D) – Anesthesiology Physician, NPI 1093767030

CHAD J PURDOM (M.D) is a healthcare provider. based in Naples, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D. They hold a License No. FLME0092645 (FL). The NPI Number for CHAD J PURDOM (M.D) is 1093767030

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
CHAD J PURDOM (M.D)
NPI
1093767030
Phone
(239) 304-4862
Address
6101 PINE RIDGE RD
Enumeration Date
17 May 2006
Last Update Date
5 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
2393484000
Graduation Year
2001 (25 years ago)
PAC ID
0446287734
Group Practice PAC ID
7911323720
Professional Enrollment ID
I20050719000283
Address ID
FL341193900NA6101XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,343 ANESTHESIOLOGY in FL

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Provider Addresses for CHAD J PURDOM (M.D)

  • Physicians Regional Medical Center - Pine Ridge, 6101, Pine Ridge Road, Naples, Collier County, Florida, 34119, United States

    NAPLES, FL 341193900

    Phone: (239) 304-4862

    Fax: (239) 304-5157

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($128).

Total Amount

$155

General + Research + Ownership

Payments

2

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050719000283IAnesthesiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34119)

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Provider's Procedures

CHAD J PURDOM (M.D) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYFL01402Anesthesia for open or endoscopic total knee joint replacement3838

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911323720View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is CHAD J PURDOM (M.D) listed with a National Provider Identifier?
Yes — CHAD J PURDOM (M.D) has NPI 1093767030 on file in the registry.
Is CHAD J PURDOM (M.D) still an active registrant?
CHAD J PURDOM (M.D) carries an active NPI according to the public dataset.
How would a patient describe CHAD J PURDOM (M.D)'s focus?
For CHAD J PURDOM (M.D), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CHAD J PURDOM (M.D)?
Directory geography for CHAD J PURDOM (M.D) centers on Naples, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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