TIERNEY RICHARDSON (PA-C) – Physician Assistant, NPI 1891220927
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for TIERNEY RICHARDSON (PA-C)
174, Armistice Boulevard, Darlington, Pawtucket, Providence County, Rhode Island, 02860, United States
PAWTUCKET, RI 028603280
Phone: (401) 725-3520
Type: Mailing
174 Armistice Blvd
Pawtucket, RI 028603280
Phone: (401) 725-3520
Type: Location
22 PATRIOT PL
FOXBORO, MA 020351375
Phone: (508) 718-4050
Fax: (508) 718-4051
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: 2020-03-23
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 |
|---|---|---|---|---|
| I20200323000508 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 190 | 140 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 128 | 94 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 75 | 75 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 23 | 22 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 02860)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | MD | |
| - | MA | |
| Critical Care (Intensivists), Pulmonary Disease | FL | |
| - | MA | |
| G A S T R O E N T E R O L O G Y | MA | |
| - | MA | |
| - | ME | |
| - | MA | |
| N E U R O L O G Y | MA | |
| Nurse Practitioner | MA |
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