DR. DOUGLAS W. PURYEAR M.D.
NPI 1295768521
Internal Medicine - Sleep Medicine in Midlothian, VA

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
13551 WATERFORD PL, MIDLOTHIAN, VA 23112(804) 320-4243(804) 622-0552 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, May 20, 2021 (2 updates tracked since 2021).

About Dr. Douglas W. Puryear M.d. NPPES

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

DR. DOUGLAS W. PURYEAR M.D. (NPI 1295768521) is an individual sleep medicine provider in Midlothian, Virginia, licensed in Virginia (0101045628) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1295768521
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. DOUGLAS W. PURYEARCredential: M.D.
Location Address13551 WATERFORD PLMidlothian, VA 23112-3929
Mailing Address1000 Boulders Pkwy, Suite 102Richmond, VA 23225-5545 · (804) 320-4243 · Fax (804) 282-1486
Fax(804) 622-0552
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 9, 2006
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1295768521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in VA · 0101045628
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101045628 (VA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 0101045628 (VA)
13551 WATERFORD PL, Midlothian, VA 23112

Other Identifiers 10

Medicaid006040969VA
Other230681VA · Anthem Provider Number
Other290007732VA · Medicare Railroad
Other7021576VA · Mamsi Provider Number
Other021806VA · Cigna Provider Number
Other4800252VA · United Healthcare Prov #
Other188473VA · An Them Provider Number
Other31706VA · Carenet Provider Number
Other557515VA · Aetna Provider Number
Other59301VA · Southern Health Provider#

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas W. Puryear M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537243449
PECOS Enrollment IDI20091211000398
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
4,170 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
841 services677 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
440 services66 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
219 services217 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
192 services40 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
181 services178 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.31
Promoting Interoperability97
Improvement Activities40
Cost56.87

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
38 suppliers617 claims617 services$33.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
40 suppliers931 claims931 services$75.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
38 suppliers923 claims2,526 services$29.08 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
28 suppliers509 claims2,831 services$15.80 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
20 suppliers368 claims2,102 services$13.02 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
35 suppliers927 claims928 services$49.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Pulmonary Disease)
13551 WATERFORD PL
MIDLOTHIAN, VA 23112
Nurse Practitioner (Family)
13551 WATERFORD PL
MIDLOTHIAN, VA 23112
Internal Medicine (Pulmonary Disease)
13551 WATERFORD PL
MIDLOTHIAN, VA 23112
Nurse Practitioner (Adult Health)
13551 WATERFORD PL
MIDLOTHIAN, VA 23112
Nurse Practitioner (Family)
13551 WATERFORD PL
MIDLOTHIAN, VA 23112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Puryear's NPI number?

The NPI number for Douglas Puryear is 1295768521. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Douglas Puryear located?

Douglas Puryear practices at 13551 Waterford Pl, Midlothian, VA 23112. The listed phone number is (804) 320-4243.

What is Douglas Puryear's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Douglas Puryear enrolled in Medicare?

Yes. Douglas Puryear is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Douglas Puryear was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.