DARLENE TIERNEY ARNP
NPI 1174526057
Nurse Practitioner in Montgomery, OH

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
81.25/100
CMS Quality Rating
11140 MONTGOMERY RD STE 1300, MONTGOMERY, OH 45249(859) 331-0774(859) 578-3800 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2020, Sep 4, 2018, Mar 19, 2018 (3 updates tracked since 2018).

About Darlene Tierney Arnp NPPES

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

DARLENE TIERNEY ARNP (NPI 1174526057) is an individual nurse practitioner in Montgomery, Ohio, licensed in Ohio (APRN.CNP.0027524) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and maintains a secondary practice location in Ft Wright.

NPPES Registry Identity

NPI1174526057
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDARLENE TIERNEYCredential: ARNP
Location Address11140 MONTGOMERY RD STE 1300Montgomery, OH 45249-2309
Mailing Address11140 Montgomery Rd Ste 1300Montgomery, OH 45249-2309
Fax(859) 578-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 24, 2005
Last NPPES UpdateDecember 28, 20203 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
NPI 1174526057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in OH · APRN.CNP.0027524 Licensed in KY · 3003443
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11140 MONTGOMERY RD STE 1300, Montgomery, OH 45249

Secondary Practice Location 1

Location 11955 Dixie Hwy Ste EFt Wright, KY 41011-2882 · Phone (859) 292-4560 · Fax (859) 292-4561

Other Identifiers 4

Medicaid0062228OH
Medicaid201069770IN
Medicaid78004918KY
Other500016674Palmetto Gba-railroad Medicare

Accepted 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

Darlene Tierney Arnp 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 ID9335296029
PECOS Enrollment IDI20090415000587, I20201001002212
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services22 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.93
Promoting Interoperability100
Improvement Activities40
Cost57.57

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
69%197 patients3/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 99% · 84 patients
99%87 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%449 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%520 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249
Registered Nurse
11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249
Internal Medicine (Cardiovascular Disease)
11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249
Internal Medicine (Cardiovascular Disease)
11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249
Internal Medicine (Cardiovascular Disease)
11140 MONTGOMERY RD STE 1300
CINCINNATI, OH 45249

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 Darlene Tierney's NPI number?

The NPI number for Darlene Tierney is 1174526057. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Darlene Tierney located?

Darlene Tierney practices at 11140 Montgomery Rd Ste 1300, Montgomery, OH 45249. The listed phone number is (859) 331-0774.

What is Darlene Tierney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Darlene Tierney enrolled in Medicare?

Yes. Darlene Tierney 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 Darlene Tierney accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Darlene 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.

Is Darlene Tierney affiliated with any hospitals?

According to CMS data, Darlene Tierney is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Darlene Tierney was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.