DR. TIMOTHY PURNELL UPCHURCH (MD) – Neurology Physician, NPI 1689628745
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
609 NEUROLOGY in TN
Provider Addresses for DR. TIMOTHY PURNELL UPCHURCH (MD)
123 UPCHURCH LN
ELMWOOD, TN 385604135
Phone: (610) 664-2584
Fax: (610) 664-3501
Type: Mailing
110 CORPORATE DR
JOHNSON CITY, TN 376042008
Phone: (423) 328-0363
Type: Location
2211 NE 139th St
Vancouver, WA 986862742
Phone: (360) 487-1000
Type: Location
GSB BUilding 1 E Belmont Ave
Suite 400A
Baya Cynwyd, PA 190041606
Phone: (404) 502-1150
Type: Location
6565 S Yale Ave Ste 209
Tulsa, OK 741368303
Phone: (918) 488-0990
Fax: (918) 728-8036
Type: Location
15790 Paul Vega Dr
Hammond, LA 704031436
Phone: (985) 345-2700
Fax: (985) 230-6652
Type: Location
1101 Medical Center Blvd
Marrero, LA 700723147
Phone: (504) 349-2410
Fax: (504) 349-2413
Type: Location
515 Pacific Ave
Audubon, IA 500251056
Phone: (712) 563-2611
Type: Location
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
C B 8111
SAINT LOUIS, MO 631101010
Phone: (314) 658-3887
Fax: (314) 286-8555
Type: Mailing
Rehabilitation Institute of Saint Louis, 4455, Duncan Avenue, Cortex Innovation Community, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 631101111
Phone: (314) 658-3887
Fax: (314) 286-8555
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.
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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: 2025-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080814000390 | I | Neurology | TN | TBD |
| I20180705001194 | I | Neurology | MI | TBD |
| I20221117003205 | I | Neurology | WA | TBD |
| I20230815001360 | I | Neurology | AR | TBD |
| I20230920003872 | I | Neurology | NE | TBD |
| I20231018003739 | I | Neurology | IN | TBD |
| I20240226000750 | I | Neurology | OK | TBD |
| I20251007001814 | I | Neurology | LA | TBD |
| I20251104004361 | I | Neurology | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | 21 | 21 | $0 |
Insurance plans in this area (ZIP 38560)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | LA | |
| - | LA | |
| Internal Medicine | LA | |
| - | LA | |
| Internal Medicine | LA | |
| H O S P I T A L I S T | LA | |
| Physician Assistant | LA | |
| Internal Medicine | LA | |
| Family Practice | LA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | LA |
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