DR. ANDREW PAUL THIERRY (MD) – Diagnostic Radiology Physician, NPI 1184814006

DR. ANDREW PAUL THIERRY (MD) is a healthcare provider. based in Santa monica, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301086271 (MI). The NPI Number for DR. ANDREW PAUL THIERRY (MD) is 1184814006

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW PAUL THIERRY (MD)
NPI
1184814006
Phone
(248) 935-2751
Address
857 4th St
Enumeration Date
26 July 2007
Last Update Date
25 October 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5108187411
Graduation Year
2005 (21 years ago)
PAC ID
7416140918
Group Practice PAC ID
6305927245
Professional Enrollment ID
I20101015001058
Address ID
CA904021339SA492XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for DR. ANDREW PAUL THIERRY (MD)

  • 857 4th St

    Apt A

    Santa Monica, CA 904031201

    Phone: (248) 935-2751

    Type: Location

  • 492 E CHANNEL RD

    SANTA MONICA, CA 904021339

    Phone: (310) 740-6544

    Type: Mailing

  • 1112 MONTANA AVE STE 392

    SANTA MONICA, CA 904031652

    Phone: (310) 740-6544

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101015001058IDiagnostic RadiologyCATBD
I20250521002747IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,10011$0
76000Imaging guidance for procedure, 60 minutes or less769478$0
72110X-ray of lower and sacral spine, minimum of 4 views605383$0
72148Mri scan of lower spinal canal without contrast168167$0
72052X-ray of upper spine, 6 or more views9971$0
View full utilization report →

Insurance plans in this area (ZIP 90403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305927245View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyNY
Diagnostic RadiologyCA
Diagnostic RadiologyKY
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineCA
Diagnostic RadiologyOH
-CA

Reviews

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Frequently asked questions

Does DR. ANDREW PAUL THIERRY (MD) have a public NPI I can cite?
Public records show DR. ANDREW PAUL THIERRY (MD) under NPI 1184814006.
Quick check: is DR. ANDREW PAUL THIERRY (MD) active?
Public NPPES data shows DR. ANDREW PAUL THIERRY (MD) with an active NPI status right now.
What does the directory say DR. ANDREW PAUL THIERRY (MD) does?
Insurance directories may phrase it differently, but here DR. ANDREW PAUL THIERRY (MD) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANDREW PAUL THIERRY (MD)?
The directory associates DR. ANDREW PAUL THIERRY (MD) with Santa Monica, California. Check all listed addresses for suites or satellite offices.
Can I export DR. ANDREW PAUL THIERRY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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