2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1598715211 D.O.
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CAROL PURDY, D.O.

Addiction Medicine (Family Medicine) Physician in NEWPORT NEWS, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
122
Medicare Part D claims · 42 beneficiaries · Addiction Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.0775/100
▲ 11 pts above national avg 83.1 · [object Object]
What the federal data reveals: CAROL PURDY, D.O. is a Addiction Medicine (Family Medicine) Physician ([object Object]) practicing in NEWPORT NEWS, Virginia with a Medicare Part D prescribing footprint of 122 claims across 42 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 94.0775/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CAROL PURDY, D.O. reported a CMS MIPS final score of 94.0775 out of 100, above the 83.1 national average, and filed 122 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CAROL PURDY, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CAROL PURDY, D.O. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/11/2006

NPI 1598715211

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

122 89% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

MIPS final score

94.0775/100 10.977500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Addiction Medicine (Family Medicine) Physician compares to other specialties among Virginia providers

Virginia providers

Addiction Medicine (Family Medicine) Physician share within Virginia

1. Addiction Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Family Medicine) Physician share within Virginia

Medicare quality performance — MIPS

CAROL PURDY, D.O.'s 2023 MIPS final score plotted against the Addiction Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
94.0775/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Family Medicine) Physician) — 94.0775/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Addiction Medicine (Family Medicine) Physician) — 94.0775/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CAROL PURDY, D.O. is a Addiction Medicine (Family Medicine) Physician provider practicing in NEWPORT NEWS, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1598715211. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CAROL PURDY, D.O. appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding D.O. credentials at 12997 WARWICK BLVD, NEWPORT NEWS, VA, 23602, with a listed phone of (757) 369-3357. NPI 1598715211 was issued on 05/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PURDY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 122 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $7K in drug spend, split 11% brand-name and 89% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.0775/100 for the 2023 performance year (Quality 90.6515), compared with the national average of 83.1.

Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

12997 WARWICK BLVD
NEWPORT NEWS, VA 23602

Provider Details

NPI 1598715211
Specialty Addiction Medicine (Family Medicine) Physician
Credentials D.O.
Gender Female
NPI Issued 05/11/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.0775
Final Score
Avg: 83.1
90.6515
Quality
95.8391
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CAROL PURDY, D.O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

RECOVER TOGETHER INC
FREDERICKSBURG, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

CAROL PURDY, D.O. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 122 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

122
Total Claims
$7K
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
122
Total Day Supply
912
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$2K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
48.5 years
Avg HCC Risk Score
1.18
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
56
Naloxone Hcl
33

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Addiction Medicine (Family Medicine) Physician Overview

How CAROL PURDY, D.O. fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.

763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider

CAROL PURDY, D.O.'s 122 claims are below the specialty average of 1,134.

Nearby Addiction Medicine (Family Medicine) Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as PURDY.

Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROL PURDY, D.O.'s specialty?
CAROL PURDY, D.O. specializes in Addiction Medicine (Family Medicine) Physician and practices in NEWPORT NEWS, Virginia. Credentials: D.O..
How much does CAROL PURDY, D.O. prescribe under Medicare Part D?
In 2023, CAROL PURDY, D.O. wrote 122 Medicare Part D claims totaling $7K in drug costs for 42 beneficiaries.
What is CAROL PURDY, D.O.'s Medicare quality score?
CAROL PURDY, D.O. has a CMS MIPS Final Score of 94.0775/100 (Quality: 90.6515). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROL PURDY, D.O. located?
CAROL PURDY, D.O. is located at 12997 WARWICK BLVD, NEWPORT NEWS, VA, 23602. Phone: (757) 369-3357.
What is CAROL PURDY, D.O.'s NPI number?
CAROL PURDY, D.O.'s National Provider Identifier (NPI) is 1598715211, issued on 05/11/2006.
Does CAROL PURDY, D.O. prescribe more brand-name or generic drugs?
CAROL PURDY, D.O.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $2K in brand drug costs.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US?
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
What drugs does CAROL PURDY, D.O. prescribe most often?
Based on 2023 Medicare Part D data, CAROL PURDY, D.O.'s most frequently prescribed drugs include Buprenorphine-Naloxone, Naloxone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROL PURDY, D.O. accept Medicare?
CAROL PURDY, D.O. appears in CMS Medicare data with 122 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROL PURDY, D.O.'s credentials?
CAROL PURDY, D.O.'s NPI is 1598715211 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology