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RYAN TIERNAN
NPI 1306647789
Physician Assistant in Astoria, NY

Active since March 21, 2025PECOS Enrolled
2515 CRESCENT ST, ASTORIA, NY 11102(718) 998-9880 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Tiernan NPPES

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

RYAN TIERNAN (NPI 1306647789) is an individual physician assistant in Astoria, New York, licensed in New York (033610) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306647789
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN TIERNAN
Location Address2515 CRESCENT STAstoria, NY 11102-4370
Mailing Address2515 Crescent StAstoria, NY 11102-4370
Phone(718) 998-9880
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1306647789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 033610
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2515 CRESCENT ST, Astoria, NY 11102
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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)

Ryan Tiernan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921515057
PECOS Enrollment IDI20250724002293
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 11102 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 3

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

DR. ARI BENJAMIN LERNER M.D.
Anesthesiology (Pain Medicine)
2515 CRESCENT ST
ASTORIA, NY 11102
Queens County (718) 932-1740
PRIME ONE MEDICAL SERVICES PLLC
Clinic/Center (Ambulatory Surgical)
2515 CRESCENT ST
ASTORIA, NY 11102
Queens County (718) 932-1740
TXO CHIROPRACTIC PC
Chiropractor
2515 CRESCENT ST
ASTORIA, NY 11102
Queens County (765) 360-9078

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 Ryan Tiernan's NPI number?

The NPI number for Ryan Tiernan is 1306647789. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Ryan Tiernan located?

Ryan Tiernan practices at 2515 Crescent St, Astoria, NY 11102. The listed phone number is (718) 998-9880.

What is Ryan Tiernan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ryan Tiernan enrolled in Medicare?

Yes. Ryan Tiernan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Tiernan was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.