JOHN MICHAEL TIERNEY (PA) – Physician Assistant, NPI 1124023445
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for JOHN MICHAEL TIERNEY (PA)
San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322078566
Phone: (904) 346-3465
Fax: (904) 880-1210
Type: Mailing
Brown Fertility, 14540, Old Saint Augustine Road, Jacksonville, Duval County, Florida, 32258, United States
SUITE 2201
JACKSONVILLE, FL 322587418
Phone: (904) 880-1260
Fax: (904) 880-1210
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $234.
Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Medtronic, Inc. ($234).
Total Amount
$234
General + Research + Ownership
Payments
3
Total payment records
General Amount
$234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $234 |
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: 2004-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041230000118 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 408 | 240 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 178 | 142 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 72 | 70 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 65 | 49 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 53 | 44 | $0 |
Insurance plans in this area (ZIP 32207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
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