DR. BRECK MICHAEL TIERNAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1861614380

DR. BRECK MICHAEL TIERNAN (DPM) is a healthcare provider. based in Joliet, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 16005321 (IL). The NPI Number for DR. BRECK MICHAEL TIERNAN (DPM) is 1861614380

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRECK MICHAEL TIERNAN (DPM)
NPI
1861614380
Phone
(815) 553-0990
Address
350 HOUBOLT RD
Enumeration Date
3 May 2007
Last Update Date
16 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8155530990
Graduation Year
2005 (21 years ago)
PAC ID
2860583523
Group Practice PAC ID
6901961465
Professional Enrollment ID
I20070809000390
Address ID
IL604318305JO350XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

Loading map...

Provider Addresses for DR. BRECK MICHAEL TIERNAN (DPM)

  • 350, Houbolt Road, Joliet, Will County, Illinois, 60431, United States

    SUITE 104

    JOLIET, IL 604318305

    Phone: (815) 553-0990

    Fax: (815) 553-0991

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $193.

Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.

Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Smith+Nephew, Inc. ($151).

Total Amount

$193

General + Research + Ownership

Payments

4

Total payment records

General Amount

$193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-08-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070809000390IPodiatryILTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes92761$0
29540Placement of strapping to ankle or foot46961$0
99213Established patient office or other outpatient visit, 20-29 minutes441158$0
97610Therapy procedure using ultrasound10613$0
99214Established patient office or other outpatient visit, 30-39 minutes8161$0
View full utilization report →

Insurance plans in this area (ZIP 60431)

Loading plans...

Provider's Procedures

DR. BRECK MICHAEL TIERNAN (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1914

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: 6901961465View full group profile
NameSpecialtyState
P O D I A T R YIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. BRECK MICHAEL TIERNAN (DPM)?
Save NPI 1861614380 if you need a stable reference for DR. BRECK MICHAEL TIERNAN (DPM).
Is DR. BRECK MICHAEL TIERNAN (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. BRECK MICHAEL TIERNAN (DPM) list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for DR. BRECK MICHAEL TIERNAN (DPM). Clinical services aligned with this taxonomy classification.
Does DR. BRECK MICHAEL TIERNAN (DPM) practice in Illinois?
You will see Joliet, Illinois on file for DR. BRECK MICHAEL TIERNAN (DPM) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

STEVEN BRADLEY OVERPECK (DPM)

Foot & Ankle Surgery Podiatrist
1100 ESSINGTON RD STE 2
NPI: 1518971639

DR. ROBERT KENNETH MACNAB (D.P.M.)

Foot & Ankle Surgery Podiatrist
330, Madison Street, Joliet, Will County, Illinois, 60435, United States
NPI: 1669481180

DR. DARYL SCOTT CANEVA (DPM)

Foot & Ankle Surgery Podiatrist
200, Hammes Avenue, Joliet, Will County, Illinois, 60435, United States
NPI: 1922107838

DR. LORI ANN KNUTSTROM (D.P.M.)

Foot & Ankle Surgery Podiatrist
705 S Dixie Hwy
NPI: 1295817054

Unknown Individual

Foot & Ankle Surgery Podiatrist
3077, West Jefferson Street, Joliet, Troy Township, Will County, Illinois, 60435, United States
NPI: 1699852905

Vital Care Physical Therapy

Orthopaedic Surgery Physician
1051 W US ROUTE 6
NPI: 1043359961

DR. JOE MATHEW GEORGE (DPM)

Foot & Ankle Surgery Podiatrist
963 N 129TH INFANTRY DR
NPI: 1114068202

STEVEN B OVERPECK DPM PC

Foot & Ankle Surgery Podiatrist
1100 ESSINGTON RD
NPI: 1548397607

Advanced Foot and Ankle Center of Joliet

Foot & Ankle Surgery Podiatrist
350, Houbolt Road, Joliet, Will County, Illinois, 60431, United States
NPI: 1730354382