MCKENNA TIERNEY DO
NPI 1023758752
Pediatrics in Glastonbury, CT
About Mckenna Tierney Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENNA TIERNEY DO (NPI 1023758752) is an individual pediatrics provider in Glastonbury, Connecticut, licensed in Connecticut (1.083138-DO) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mckenna Tierney Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mckenna Tierney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 496 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mckenna Tierney's NPI number?
The NPI number for Mckenna Tierney is 1023758752. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Mckenna Tierney located?
Mckenna Tierney practices at 290 Western Blvd, Glastonbury, CT 06033. The listed phone number is (860) 652-3325.
What is Mckenna Tierney's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mckenna Tierney enrolled in Medicare?
Yes. Mckenna Tierney is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mckenna Tierney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenna Tierney reassigns Medicare benefits to Prohealth Physicians PC (Farmington, CT). The 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 Mckenna Tierney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mckenna Tierney accept?
Health plans from Anthem Blue Cross and Blue Shield list Mckenna Tierney 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 Mckenna Tierney was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mckenna Tierney, DO · NPI 1023758752
Pediatrics physician in Glastonbury, Connecticut. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1023758752 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 1.083138-DO (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 290 WESTERN BLVD, Glastonbury, CT 06033-1236
- **Phone:** (860) 652-3325
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prohealth Physicians PC (NPI 1720194053, Farmington, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023758752) · Data from the CMS NPPES public registry.