JEROME JR. PURYEAR (MD) – Diagnostic Radiology Physician, NPI 1255381000

JEROME JR. PURYEAR (MD) is a healthcare provider. based in Columbus, Ohio. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35087047 (OH). The NPI Number for JEROME JR. PURYEAR (MD) is 1255381000

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JEROME JR. PURYEAR (MD)
NPI
1255381000
Phone
(614) 430-5707
Address
BOX 713083
Enumeration Date
11 May 2006
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048516577
Graduation Year
1997 (29 years ago)
PAC ID
7517916943
Group Practice PAC ID
4486555398
Professional Enrollment ID
I20221128000467
Address ID
GA302404131LA1514XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

215 INTERVENTIONAL RADIOLOGY in OH

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Provider Addresses for JEROME JR. PURYEAR (MD)

  • Box Circle, Boxwood Estates, Columbus, Muscogee County, Georgia, 31907, United States

    COLUMBUS, OH 432713083

    Phone: (614) 430-5707

    Type: Mailing

  • Kettering Medical Center, 3535, Southern Boulevard, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454291221

    Phone: (937) 296-7202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 14 Medicare enrollment records; no due dates published yet.

Enrollment records

14

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
I20050112001016IDiagnostic RadiologyTXTBD
I20060125000479IDiagnostic RadiologyOHTBD
I20200708002567IDiagnostic RadiologyFLTBD
I20210630003497IDiagnostic RadiologyILTBD
I20211122002394IDiagnostic RadiologyAZTBD
I20220217001804IInterventional RadiologyKYTBD
I20221128000467IDiagnostic RadiologyGATBD
I20230512000863IDiagnostic RadiologyNYTBD
I20230814002614IDiagnostic RadiologyWATBD
I20240317000022IDiagnostic RadiologyWVTBD
I20250224002501IDiagnostic RadiologyMITBD
I20250225002241IDiagnostic RadiologyTNTBD
I20251209003496IDiagnostic RadiologyCTTBD
I20260112002882IDiagnostic RadiologySCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view1,2921,231$0
70450Ct scan head or brain without contrast642625$0
72125Ct scan of upper spine without contrast201197$0
71046X-ray of chest, 2 views197194$0
71275Ct scan of blood vessels of chest with contrast149147$0
View full utilization report →

Insurance plans in this area (ZIP 43271)

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Provider's Procedures

JEROME JR. PURYEAR (MD) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOH93922Ultrasound study of arteries of both arms and legs4342

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: 4486555398View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyGA
Diagnostic RadiologyOR
-GA
Diagnostic RadiologyGA
Diagnostic RadiologyTX
Diagnostic RadiologyGA
Diagnostic RadiologyMN
Diagnostic RadiologyDC
Diagnostic RadiologyNY
Diagnostic RadiologyGA

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Frequently asked questions

Where can patients find JEROME JR. PURYEAR (MD)'s NPI?
You can confirm JEROME JR. PURYEAR (MD) with NPI 1255381000; it appears in the national provider directory.
Is JEROME JR. PURYEAR (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JEROME JR. PURYEAR (MD)?
The page reflects Diagnostic Radiology Physician for JEROME JR. PURYEAR (MD). Clinical services aligned with this taxonomy classification.
Does JEROME JR. PURYEAR (MD) practice in Ohio?
You will see Columbus, Ohio on file for JEROME JR. PURYEAR (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.