1. Home
  2. Directory
  3. Oregon
  4. Milwaukie
  5. Family Medicine
  6. NPI Profile

AMY MELISSA TIERNEY M.D.
NPI 1083907661
Family Medicine - Geriatric Medicine in Milwaukie, OR

Active since May 16, 2011PECOS Enrolled
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222(971) 206-5179(503) 905-0495 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2020, Apr 2, 2020 (2 updates tracked since 2020).

About Amy Melissa Tierney M.d. NPPES

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

AMY MELISSA TIERNEY M.D. (NPI 1083907661) is an individual geriatric medicine provider in Milwaukie, Oregon, licensed in Oregon (MD173899) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083907661
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameAMY MELISSA TIERNEYCredential: M.D.
Location Address4560 SE INTERNATIONAL WAY STE 100Milwaukie, OR 97222-4628
Mailing Address4560 Se International Way, Ste 100Milwaukie, OR 97222-4628 · (971) 206-5179
Phone(971) 206-5179
Fax(503) 905-0495
Sole ProprietorNo
Enumeration DateMay 16, 2011
Last NPPES UpdateMay 11, 20202 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1083907661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in OR · MD173899
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4560 SE INTERNATIONAL WAY STE 100, Milwaukie, OR 97222
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Melissa Tierney M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97222 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

EMILY MCCOY
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5202
DR. AVIVA ZIGMAN MD
General Practice
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5164
MRS. MARLA E. STASIK NP
Nurse Practitioner (Adult Health)
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 712-6863
LACIE FERRIS PTA
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5237
KAREN ELAINE BISHOP COTA
Occupational Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (800) 891-7575
ELYSS I FRISBEE CCC-SLP
Speech-Language Pathologist
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (541) 771-3066
MS. LESLIE KAREN FITZGERALD P.A.
Physician Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5179
PHILLIP CLARK PTA
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (812) 870-9822

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 Amy Tierney's NPI number?

The NPI number for Amy Tierney is 1083907661. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Amy Tierney located?

Amy Tierney practices at 4560 SE International Way Ste 100, Milwaukie, OR 97222. The listed phone number is (971) 206-5179.

What is Amy Tierney's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Amy Tierney enrolled in Medicare?

Yes. Amy Tierney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Tierney was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.