NPIMap

Individual provider Active NPI

James P. Tierney, DO

  • Urology Physician
  • Charleston, WV
National Provider Identifier
1205920261
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
775 Issued in WV
Practice address
11 Courtney Drive
Charleston, WV 25304
Phone
(304) 925-8521
Fax
(304) 925-8523
NPI assigned
Oct 3, 2006
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 775 WV Primary

Addresses

Primary practice location

11 Courtney Drive
Charleston, WV 25304

Mailing address

11 Courtney Dr
Charleston, WV 25304-2699
Phone (304) 925-8521

Other identifiers 1

IdentifierTypeStateIssuer
0129896000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000369 WV Practitioner - Urology 8123041969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
West Virginia School of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery General Hospital, IncGroup PAC ID 6204735269, 37 clinicians

Practice addresses (Care Compare)

401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Sep 6, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Dec 1, 2015 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Sep 6, 2023 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Urologic Surgical Associates Urology PastSince Jul 1, 1997 Accepting new patients
Montgomery General Hospital, Inc. Past Accepting new patients

Locations

11 Courtney Dr
Charleston, WV 25304
Phone (304) 925-8521

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

119 Main St W
Ste A
Oak Hill, WV 25901
Phone (304) 465-0544

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1205920261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COURTNEY DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042699",
            "telephone_number": "304-925-8521",
            "fax_number": "304-925-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COURTNEY DRIVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-925-8521",
            "fax_number": "304-925-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "JAMES",
        "middle_name": "P.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129896000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.