JOHN TIERNEY PA-C
NPI 1669010591
Physician Assistant in Bethpage, NY

Active since December 10, 2019PECOS EnrolledAccepts Medicare Assignment
246 N 4TH ST, BETHPAGE, NY 11714(516) 974-6160 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2021, Dec 22, 2020, Dec 10, 2019 (3 updates tracked since 2019).

About John Tierney Pa-c NPPES

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

JOHN TIERNEY PA-C (NPI 1669010591) is an individual physician assistant in Bethpage, New York and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in East Meadow.

NPPES Registry Identity

NPI1669010591
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN TIERNEYCredential: PA-C
Location Address246 N 4TH STBethpage, NY 11714-2026
Mailing Address246 N 4th StBethpage, NY 11714-2026 · (516) 974-6160
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 10, 2019
Last NPPES UpdateJanuary 8, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
NPI 1669010591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
246 N 4TH ST, Bethpage, NY 11714

Secondary Practice Location 1

Location 12310 Hempstead TpkeEast Meadow, NY 11554-2035 · Phone (516) 531-6492

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

John Tierney Pa-c 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 ID4789098674
PECOS Enrollment IDI20210204002365
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.

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11714 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 John Tierney's NPI number?

The NPI number for John Tierney is 1669010591. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is John Tierney located?

John Tierney practices at 246 N 4th St, Bethpage, NY 11714. The listed phone number is (516) 974-6160.

What is John Tierney's specialty?

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

Is John Tierney enrolled in Medicare?

Yes. John 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.

Is John Tierney affiliated with any hospitals?

According to CMS data, John Tierney is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for John Tierney was last updated on January 8, 2021. 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.