DR. TIMOTHY PURNELL UPCHURCH MD
NPI 1689628745
Psychiatry & Neurology - Vascular Neurology in Johnson City, TN

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
110 CORPORATE DR, JOHNSON CITY, TN 37604(423) 328-0363 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2026, Nov 24, 2025, Sep 11, 2025 and 4 more (7 updates tracked since 2016).

About Dr. Timothy Purnell Upchurch Md NPPES

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

DR. TIMOTHY PURNELL UPCHURCH MD (NPI 1689628745) is an individual vascular neurology provider in Johnson City, Tennessee, licensed in Tennessee (43687) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1689628745
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. TIMOTHY PURNELL UPCHURCHCredential: MD
Location Address110 CORPORATE DRJohnson City, TN 37604-2008
Mailing Address123 Upchurch LnElmwood, TN 38560-4135 · (610) 664-2584 · Fax (610) 664-3501
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 20, 2006
Last NPPES UpdateMay 22, 20267 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1689628745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses✔ Licensed in TN · 43687✔ Licensed in WA · MD61336519✔ Licensed in OK · 42522✔ Licensed in MI · 4301111181✔ Licensed in UT · 12662573-1205✔ Licensed in IA · MD50105✔ Licensed in FL · ME176745✔ Licensed in LA · 345957✔ Licensed in IL · 036132897✔ Licensed in MO · 2012013562
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License ME176745 (FL), 345957 (LA), 036132897 (IL), 2012013562 (MO), MD61336519 (WA)
110 CORPORATE DR, Johnson City, TN 37604

Secondary Practice Locations 7

Location 11701 S Creasy LnLafayette, IN 47905-4972 · Phone (765) 502-4400 · Fax (765) 502-4401
Location 22211 NE 139th StVancouver, WA 98686-2742 · Phone (360) 487-1000
Location 315790 Paul Vega DrHammond, LA 70403-1436 · Phone (985) 345-2700 · Fax (985) 230-6652
Location 46565 S Yale Ave Ste 209Tulsa, OK 74136-8303 · Phone (918) 488-0990 · Fax (918) 728-8036
Location 51101 Medical Center BlvdMarrero, LA 70072-3147 · Phone (504) 349-2410 · Fax (504) 349-2413
Location 6GSB BUilding 1 E Belmont Ave, Suite 400ABaya Cynwyd, PA 19004-1606 · Phone (404) 502-1150
Location 7515 Pacific AveAudubon, IA 50025-1056 · Phone (712) 563-2611

Other Identifiers 2

Other43687TN · Medical License Number
Other345957LA · La License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Purnell Upchurch Md 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 ID1153325329
PECOS Enrollment IDI20221117003205, I20231018003739, I20251007001814, I20251104004361, I20260327003389
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Timothy Upchurch reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
8111 S EMERSON AVE
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
Family Medicine
1100 SOUTHFIELD DR STE 1210
Plainfield, IN 46168
  • Reassigned Medicare billing, Indiana enrollment
  • 401 clinicians in this Medicare group
Family Medicine
1221 PINE GROVE AVE
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 87 clinicians in this Medicare group
General Acute Care Hospital
15790 PAUL VEGA MD DR
Hammond, LA 70403
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
4945 LAPALCO BLVD STE 200
Marrero, LA 70072
  • Reassigned Medicare billing, Louisiana enrollment
  • 291 clinicians in this Medicare group
Foot & Ankle Surgery
1500 DODSON AVE STE 260
Fort Smith, AR 72901
  • Reassigned Medicare billing, Arkansas enrollment
  • 193 clinicians in this Medicare group
General Practice
6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,144 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, Indiana, Michigan, Nebraska and Tennessee enrollments
  • 11 clinicians in this Medicare group
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services24 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Hematology & Oncology)
110 CORPORATE DR, SUITE 120
JOHNSON CITY, TN 37604

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 Timothy Upchurch's NPI number?

The NPI number for Timothy Upchurch is 1689628745. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Timothy Upchurch located?

Timothy Upchurch practices at 110 Corporate Dr, Johnson City, TN 37604. The listed phone number is (423) 328-0363.

What is Timothy Upchurch's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Timothy Upchurch enrolled in Medicare?

Yes. Timothy Upchurch 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.

Which organizations bill Medicare for Timothy Upchurch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Upchurch reassigns Medicare benefits to 11 organizations: Franciscan Physician Network (Indianapolis, IN), Hendricks County Hospital (Plainfield, IN), Mclaren Port Huron (Port Huron, MI), North Oaks Medical Center, LLC (Hammond, LA), New Orleans Physician Services Inc (Marrero, LA) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Upchurch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Upchurch accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CareSource, Cigna Healthcare, HMO Louisiana and Health Advantage and 2 other insurers list Timothy Upchurch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Upchurch affiliated with any hospitals?

According to CMS data, Timothy Upchurch is affiliated with West Jefferson Medical Center and Legacy Emanuel Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Upchurch was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.