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DR. TODD JORDAN PURKISS M.D., PH.D.
NPI 1942347703
Ophthalmology - Retina Specialist in Lexington, KY

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
120 N EAGLE CREEK DR, STE 500, LEXINGTON, KY 40509(859) 263-3900(859) 263-3757 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Todd Jordan Purkiss M.d., Ph.d. NPPES

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

DR. TODD JORDAN PURKISS M.D., PH.D. (NPI 1942347703) is an individual retina specialist in Lexington, Kentucky, licensed in Kentucky (42434) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2004).

NPPES Registry Identity

NPI1942347703
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. TODD JORDAN PURKISSCredential: M.D., PH.D.
Location Address120 N EAGLE CREEK DR, STE 500Lexington, KY 40509-1827
Mailing Address120 N Eagle Creek Dr, Ste 500Lexington, KY 40509-1827 · (859) 263-3900 · Fax (859) 263-3757
Phone(859) 263-3900
Fax(859) 263-3757
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2004
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMay 9, 2017
✔ NPI 1942347703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in KY · 42434
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 42434 (KY), 2008-00297 (NC)
120 N EAGLE CREEK DR, Lexington, KY 40509
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Other Identifiers 4

Medicaid0117684OH
Medicaid710081470KY
Medicare PINK171660KY
Medicare PIN0241217KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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. Todd Jordan Purkiss M.d., Ph.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 ID9638241128
PECOS Enrollment IDI20090821000093, I20200421000301
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 11

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
53,880 services165 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
3,465 services1,011 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,652 services268 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,220 services469 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.
1,069 services560 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
799 services429 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%476 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
87%402 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
96%404 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%4,476 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%283 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%847 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
85%2,505 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
99%90 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%2,505 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
85%2,505 patients5/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,383 patients
0%1,383 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

PALAK B WALL MD PLLC
Ophthalmology
120 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (614) 565-6088
M2K INTERNAL MEDICINE, PSC
Internal Medicine
120 N EAGLE CREEK DR, SUITE 321
LEXINGTON, KY 40509
Fayette County (859) 233-1490
DR. KACI M WATHEN AUD
Audiologist-Hearing Aid Fitter
120 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 629-7140
SAINT JOSEPH MEDICAL FOUNDATION, INC
Internal Medicine (Pulmonary Disease)
120 N EAGLE CREEK DR, SUITE 350
LEXINGTON, KY 40509
Fayette County (859) 967-5648
GERALD W. ELLIOTT M.D.
Dermatology
120 N EAGLE CREEK DR, SUITE 360
LEXINGTON, KY 40509
Fayette County (859) 258-5270
MARY RACHEL MCGUFFEY M.D.
Pediatrics
120 N EAGLE CREEK DR, SUITE 250
LEXINGTON, KY 40509
Fayette County (859) 258-5141
BELINDA L SHIRKEY M.D.
Ophthalmology (Retina Specialist)
120 N EAGLE CREEK DR, STE 500
LEXINGTON, KY 40509
Fayette County (859) 263-3900
DR. WILLIAM J. WOOD M.D.
Ophthalmology (Retina Specialist)
120 N EAGLE CREEK DR, STE 500
LEXINGTON, KY 40509
Fayette County (859) 263-3900

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 Todd Purkiss's NPI number?

The NPI number for Todd Purkiss is 1942347703. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Todd Purkiss located?

Todd Purkiss practices at 120 N Eagle Creek Dr Ste 500, Lexington, KY 40509. The listed phone number is (859) 263-3900.

What is Todd Purkiss's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Todd Purkiss enrolled in Medicare?

Yes. Todd Purkiss 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.

What insurance does Todd Purkiss accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Todd Purkiss 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.

When was this NPI record last updated?

The NPPES record for Todd Purkiss was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.