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TIERNEY WOLFE
NPI 1316301120
Pediatrics in San Jose, CA

Active since April 07, 2016PECOS Enrolled
276 INTERNATIONAL CIR BLDG 1, SAN JOSE, CA 95119(669) 321-8713 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2024, Jul 7, 2021, Jul 13, 2016 (3 updates tracked since 2016).

About Tierney Wolfe NPPES

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

TIERNEY WOLFE (NPI 1316301120) is an individual pediatrics provider in San Jose, California, licensed in California (C193822) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316301120
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTIERNEY WOLFE
Location Address276 INTERNATIONAL CIR BLDG 1San Jose, CA 95119-1130
Mailing Address276 International Cir Bldg 1San Jose, CA 95119-1130
Phone(669) 321-8713
Sole ProprietorYes
Enumeration DateApril 7, 2016
Last NPPES UpdateMarch 22, 20243 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1316301120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · C193822
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
276 INTERNATIONAL CIR BLDG 1, San Jose, CA 95119
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tierney Wolfe 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.

Medicare Billing Reassignment

Medicare enrollment records show Tierney Wolfe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
13 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 3

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

SHELLA KIRIN RAJA MD
Pediatrics
276 INTERNATIONAL CIR BLDG 1
SAN JOSE, CA 95119
Santa Clara County (408) 362-4740
ELAINE LEE HSIA DO
Family Medicine
276 INTERNATIONAL CIR BLDG 1
SAN JOSE, CA 95119
Santa Clara County (408) 972-7756
DR. PATRICK S CORPUZ MD
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR BLDG 1
SAN JOSE, CA 95119
Santa Clara County (408) 972-6884

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 Tierney Wolfe's NPI number?

The NPI number for Tierney Wolfe is 1316301120. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Tierney Wolfe located?

Tierney Wolfe practices at 276 International Cir Bldg 1, San Jose, CA 95119. The listed phone number is (669) 321-8713.

What is Tierney Wolfe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tierney Wolfe enrolled in Medicare?

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

Which organization bills Medicare for Tierney Wolfe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tierney Wolfe reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tierney Wolfe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tierney Wolfe was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.