PRESTON PEMBERTON PURDUM III
NPI 1275566283
Internal Medicine - Gastroenterology in Charlotte, NC

Q: What is Preston Purdum's NPI number?

The NPI number for Preston Purdum is 1275566283. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Preston Purdum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Preston Purdum was last updated on May 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2006PECOS Enrolled

91.06/100

CMS Quality Rating

300 BILLINGSLEY RD STE 200, CHARLOTTE, NC 28211(704) 372-7974(704) 372-5166 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Preston Pemberton Purdum Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTON PEMBERTON PURDUM III (NPI 1275566283) is an individual gastroenterology provider in Charlotte, North Carolina, licensed in North Carolina (9500190) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275566283

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NamePRESTON PEMBERTON PURDUM III

Location Address300 BILLINGSLEY RD STE 200Charlotte, NC 28211-1084

Mailing Address11301 Carmel Commons Blvd, Ste 302Charlotte, NC 28226-5305 · (704) 372-7974 · Fax (704) 372-8201

Phone(704) 372-7974

Fax(704) 372-5166

Sole ProprietorYes

Enumeration DateJuly 10, 2006

Last NPPES UpdateMay 4, 2017

✔ NPI 1275566283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NC · 9500190

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

300 BILLINGSLEY RD STE 200, Charlotte, NC 28211

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Other Identifiers 3

Medicare UPINE45097NC

Medicare ID-Type Unspecified2206389NC

Medicaid8969467NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Preston Pemberton Purdum Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.96

Promoting Interoperability

100

Improvement Activities

Cost

85.24

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers42 claims2,280 services$0.29 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers42 claims42 services$17.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLANREWAJU YUSUF JIMOH MD, MBA

Internal Medicine (Gastroenterology)