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JAMES P. TIERNEY DO
NPI 1205920261
Urology in Charleston, WV

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
11 COURTNEY DRIVE, CHARLESTON, WV 25304(304) 925-8521(304) 925-8523 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2017, Dec 14, 2015 (2 updates tracked since 2015).

About James P. Tierney Do NPPES

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

JAMES P. TIERNEY DO (NPI 1205920261) is an individual urology provider in Charleston, West Virginia, licensed in West Virginia (775) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (1980).

NPPES Registry Identity

NPI1205920261
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJAMES P. TIERNEYCredential: DO
Location Address11 COURTNEY DRIVECharleston, WV 25304
Mailing Address11 Courtney DrCharleston, WV 25304-2699 · (304) 925-8521 · Fax (304) 925-8523
Phone(304) 925-8521
Fax(304) 925-8523
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1980
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 31, 20172 updates tracked since enumeration
✔ NPI 1205920261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WV · 775
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
11 COURTNEY DRIVE, Charleston, WV 25304
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Other Identifiers 6

Medicaid0129896000WV
Medicare PINTI0601782
Medicare PINPOO762567
Medicare ID-Type Unspecified0601782WV
Medicare UPINB42716
Medicare PINTI4257561

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

James P. Tierney Do 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 ID8123041969
PECOS Enrollment IDI20090428000369
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services75 patients
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.
41 services38 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
28 services21 patients
Exam with injections of chemical for destruction of bladder using an endoscope 52287
This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.
21 services19 patients
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310
This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510048
Location20 Hospital DriveLogan, WV 25601 · Logan County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Montgomery General Hospital, Inc

Critical Access Hospitals · Montgomery, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511318
Location401 Sixth AvenueMontgomery, WV 25136 · Fayette County
Emergency services

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers55 claims9,960 services$1.58 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers14 claims36 services$8.55 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers12 claims12 services$3.53 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.92 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers22 claims104 services$1.45 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers12 claims240 services$4.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Tierney's NPI number?

The NPI number for James Tierney is 1205920261. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is James Tierney located?

James Tierney practices at 11 Courtney Drive, Charleston, WV 25304. The listed phone number is (304) 925-8521.

What is James Tierney's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Tierney enrolled in Medicare?

Yes. James 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 James Tierney accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list James 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 James Tierney affiliated with any hospitals?

According to CMS data, James Tierney is affiliated with Charleston Area Medical Center, Logan Regional Medical Center, Boone Memorial Hospital, Montgomery General Hospital, Inc and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for James Tierney was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.