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DR. ANDREW S PIERCE MD
NPI 1093715203
Internal Medicine in Johnson City, TN

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
408 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-1810(423) 431-1811 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andrew S Pierce Md NPPES

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

DR. ANDREW S PIERCE MD (NPI 1093715203) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Tennessee (37912) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of East Tennessee State University Quillen College Of Medicine (2000).

NPPES Registry Identity

NPI1093715203
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDREW S PIERCECredential: MD
Location Address408 N STATE OF FRANKLIN RDJohnson City, TN 37604-6089
Mailing AddressPo Box 3700Johnson City, TN 37602-3700 · (423) 431-1810 · Fax (423) 431-1811
Phone(423) 431-1810
Fax(423) 431-1811
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2000
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 20, 2011
✔ NPI 1093715203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 37912
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 37912 (TN)
408 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Identifiers 1

Medicare UPINI01592TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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. Andrew S Pierce Md 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 ID2264427459
PECOS Enrollment IDI20040416001440
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
240 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
138 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
109 services100 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
89 services86 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$21.10 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier13 claims13 services$9.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. PAULA RENEE SMITH M.D.
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
MR. LARRY MICHAEL STEVENS II APN
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
DR. SAMUEL WINSTON HUDDLESTON V M.D.
Radiology (Diagnostic Radiology)
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Washington County (423) 431-2478
ALEXIS HODGE DUTY FNP
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 37604
Washington County (423) 431-4946
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
MRS. AMIE JARRETT BRIGGS FNP-BC
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Washington County (423) 431-4946
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Washington County (423) 431-4946

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 Andrew Pierce's NPI number?

The NPI number for Andrew Pierce is 1093715203. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Andrew Pierce located?

Andrew Pierce practices at 408 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-1810.

What is Andrew Pierce's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Pierce enrolled in Medicare?

Yes. Andrew Pierce 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 Andrew Pierce accept?

Health plans from Oscar Insurance Company list Andrew Pierce 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.

Is Andrew Pierce affiliated with any hospitals?

According to CMS data, Andrew Pierce is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Andrew Pierce was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.