TIERNEY GONZALES (PA-C) – Physician Assistant, NPI 1609440254

TIERNEY GONZALES (PA-C) is a healthcare provider. based in Houston, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for TIERNEY GONZALES (PA-C) is 1609440254

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TIERNEY GONZALES (PA-C)
NPI
1609440254
Phone
(281) 469-2181
Address
9601 JONES RD STE 238
Enumeration Date
18 May 2021
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814692181
Graduation Year
2020 (6 years ago)
PAC ID
2062804602
Group Practice PAC ID
2769567932
Professional Enrollment ID
I20220112000202
Address ID
TX770654774HO9601XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for TIERNEY GONZALES (PA-C)

  • 9601 JONES RD STE 238

    HOUSTON, TX 770654774

    Phone: (281) 469-2181

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2022-01-12

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
I20220112000202IPhysician AssistantTXTBD

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.

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

Insurance plans in this area (ZIP 77065)

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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: 2769567932View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Physician AssistantNY
P S Y C H I A T R YTX
Physician AssistantTX
Physician AssistantTX
-TX
P S Y C H I A T R YTX
P S Y C H I A T R YNY
-TX

Reviews

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Frequently asked questions

How do I look up TIERNEY GONZALES (PA-C) by NPI?
Use NPI 1609440254 when you need to reference TIERNEY GONZALES (PA-C) in forms, claims, or directories.
Does this profile mean TIERNEY GONZALES (PA-C) is currently active?
Yes — TIERNEY GONZALES (PA-C) appears active in the national provider directory.
Does TIERNEY GONZALES (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for TIERNEY GONZALES (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for TIERNEY GONZALES (PA-C)?
The page summarizes Houston, Texas for TIERNEY GONZALES (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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