TYSON CHARLES PURDY (MD) – Family Medicine Physician, NPI 1346402328

TYSON CHARLES PURDY (MD) is a healthcare provider. based in Lubbock, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. BP10031034 (TX). The NPI Number for TYSON CHARLES PURDY (MD) is 1346402328

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
TYSON CHARLES PURDY (MD)
NPI
1346402328
Phone
(806) 761-0464
Address
7301 Milwaukee Avenue
Enumeration Date
30 June 2008
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
8066864786
Graduation Year
2008 (18 years ago)
PAC ID
3476723511
Group Practice PAC ID
4082020086
Professional Enrollment ID
I20110830000073
Address ID
TX794236183LU10711AVEX300
Telehealth
Yes

Contacts

Secure Messaging
tpurdy1379949@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

Provider Addresses for TYSON CHARLES PURDY (MD)

  • 7301 Milwaukee Avenue

    Lubbock, TX 79424

    Phone: (806) 761-0464

    Fax: (806) 782-0097

    Type: Location

  • Grace Clinic, 4515, Marsha Sharp Freeway, Lubbock, Texas, 79407, United States

    LUBBOCK, TX 794072520

    Phone: (806) 744-7223

    Fax: (806) 740-3325

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $820.

Total Amount is formed as General ($820) + Research ($0) + Ownership ($0) = $820.

Last reported payment date: 2024-11-16 • Largest payer in this snapshot: PFIZER INC. ($183).

Total Amount

$820

General + Research + Ownership

Payments

41

Total payment records

General Amount

$820

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-16

Latest reported date

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: 2011-08-30

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
I20110830000073IFamily PracticeTXTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,955403$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month1,338323$0
99213Established patient office or other outpatient visit, 20-29 minutes483208$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a373165$0
J1100Injection, dexamethasone sodium phosphate, 1 mg17832$0
View full utilization report →

Insurance plans in this area (ZIP 79424)

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Provider's Procedures

TYSON CHARLES PURDY (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX83036Hemoglobin A1C level2722

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: 4082020086View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Sports Medicine, Family PracticeTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up TYSON CHARLES PURDY (MD) by NPI?
Use NPI 1346402328 when you need to reference TYSON CHARLES PURDY (MD) in forms, claims, or directories.
Is TYSON CHARLES PURDY (MD) active in the national directory?
TYSON CHARLES PURDY (MD)'s public NPI profile is in an active state.
What does TYSON CHARLES PURDY (MD) treat or focus on?
Patients typically see TYSON CHARLES PURDY (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TYSON CHARLES PURDY (MD)?
The page summarizes Lubbock, Texas for TYSON CHARLES PURDY (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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