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MCKENNA TIERNEY DO
NPI 1023758752
Pediatrics in Glastonbury, CT

Active since March 30, 2022PECOS Enrolled
290 WESTERN BLVD, GLASTONBURY, CT 06033(860) 652-3325 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1023758752
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMCKENNA TIERNEYCredential: DO
Location Address290 WESTERN BLVDGlastonbury, CT 06033-1236
Mailing Address290 Western BlvdGlastonbury, CT 06033-1236 · (860) 652-3325
Phone(860) 652-3325
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 30, 2022
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1023758752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 1.083138-DO
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
290 WESTERN BLVD, Glastonbury, CT 06033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenna Tierney Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830689348
PECOS Enrollment IDI20251104001467
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.

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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 8

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

BRITTANY BAYNE WALLACE CPNP
Nurse Practitioner (Pediatrics)
290 WESTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 652-3325
SUSAN PARKER
Nurse Practitioner (Family)
290 WESTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 652-5070
MRS. PATRICIA BOUWER RN,MS,FNP
Nurse Practitioner (Family)
290 WESTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 652-3325
JULIE PETERSON M.S., R.D.
Dietitian, Registered
290 WESTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 242-8330
JULIE MACNEIL M.D.
Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (888) 344-0007
DR. JOY E HONG MD
Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 284-5263
DR. STEVEN L CRAIG MD
Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 652-3325
DR. JESSICA WEYMAN TUTOLO MD
Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033
Capitol Planning Region (860) 652-3325

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.

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 10 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.