AMY MELISSA TIERNEY (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1083907661

AMY MELISSA TIERNEY (M.D.) is a healthcare provider. based in Milwaukie, Oregon. specializing in Geriatric Medicine (Family Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. MD173899 (OR). The NPI Number for AMY MELISSA TIERNEY (M.D.) is 1083907661

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AMY MELISSA TIERNEY (M.D.)
NPI
1083907661
Phone
(971) 206-5179
Address
4560 SE INTERNATIONAL WAY
Enumeration Date
16 May 2011
Last Update Date
11 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712065164
Graduation Year
2011 (15 years ago)
PAC ID
5597079533
Group Practice PAC ID
2860827821
Professional Enrollment ID
I20150804004423
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for AMY MELISSA TIERNEY (M.D.)

  • 4560 SE INTERNATIONAL WAY

    STE 100

    MILWAUKIE, OR 972224628

    Phone: (971) 206-5179

    Type: Mailing

  • 4560 SE INTERNATIONAL WAY STE 100

    MILWAUKIE, OR 972224628

    Phone: (971) 206-5179

    Fax: (503) 905-0495

    Type: Location

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: 2022-03-09

PECOS data refreshed: 2026-05-27

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97222)

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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: 2860827821View full group profile
NameSpecialtyState
Nurse PractitionerOR
Internal MedicineOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
-OR
Physician AssistantCA
Nurse PractitionerOR
Internal MedicineOR

Reviews

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Frequently asked questions

What number should I use to identify AMY MELISSA TIERNEY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1083907661 for AMY MELISSA TIERNEY (M.D.).
Should I treat AMY MELISSA TIERNEY (M.D.) as an active provider?
Patients and plans typically see AMY MELISSA TIERNEY (M.D.) as active in the national extract.
What services align with AMY MELISSA TIERNEY (M.D.)'s listing?
AMY MELISSA TIERNEY (M.D.)'s public classification highlights Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit AMY MELISSA TIERNEY (M.D.) in Milwaukie, Oregon?
For routing, start with Milwaukie, Oregon for AMY MELISSA TIERNEY (M.D.), then verify phone and hours locally.
Can I export AMY MELISSA TIERNEY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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