JOHN J TIERNEY (DO) – Specialist, NPI 1417913047

JOHN J TIERNEY (DO) is a healthcare provider. based in Westwood, Massachusetts. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 76683 (MA). The NPI Number for JOHN J TIERNEY (DO) is 1417913047

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JOHN J TIERNEY (DO)
NPI
1417913047
Phone
(781) 407-7713
Address
690 CANTON ST
Enumeration Date
22 April 2006
Last Update Date
4 January 2013

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7814614543
Graduation Year
1990 (36 years ago)
PAC ID
6507815214
Group Practice PAC ID
1456399955
Professional Enrollment ID
I20050425000158
Address ID
MA020261881DE200XXHWYX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

948 ORTHOPEDIC SURGERY in MA

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Provider Addresses for JOHN J TIERNEY (DO)

  • 690, Canton Street, Westwood, Norfolk County, Massachusetts, 02090, United States

    SUITE 325

    WESTWOOD, MA 020902321

    Phone: (781) 407-7713

    Fax: (781) 407-0998

    Type: Mailing

  • 200, Providence Highway, Dedham, Norfolk County, Massachusetts, 02026, United States

    SUITE 202

    DEDHAM, MA 020261881

    Phone: (781) 461-4543

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $8,595.

Total Amount is formed as General ($8,595) + Research ($0) + Ownership ($0) = $8,595.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Anika Therapeutics, Inc. ($6,120).

Total Amount

$8,595

General + Research + Ownership

Payments

17

Total payment records

General Amount

$8,595

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2005-04-25

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
I20050425000158IOrthopedic SurgeryMATBD

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
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,66427$0
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg84011$0
99212Established patient office or other outpatient visit, 10-19 minutes185104$0
20610Aspiration and/or injection of fluid from large joint11766$0
99213Established patient office or other outpatient visit, 20-29 minutes11480$0
View full utilization report →

Insurance plans in this area (ZIP 02090)

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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: 1456399955View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMA

Reviews

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Frequently asked questions

Is JOHN J TIERNEY (DO) listed with a National Provider Identifier?
Yes — JOHN J TIERNEY (DO) has NPI 1417913047 on file in the registry.
Is JOHN J TIERNEY (DO) shown as active in public data?
Registry records indicate JOHN J TIERNEY (DO) maintains an active NPI.
How would a patient describe JOHN J TIERNEY (DO)'s focus?
For JOHN J TIERNEY (DO), the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN J TIERNEY (DO)?
Travel planning: use Westwood, Massachusetts as the reference point for JOHN J TIERNEY (DO), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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