Individual provider Active NPI

Emily Patricia Tierney, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hyannis, MA
National Provider Identifier
1609087774
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
238976 Issued in MA
Practice address
120 Yarmouth Rd
Hyannis, MA 02601-3040
Phone
(508) 957-1650
Fax
(508) 957-1655
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 238976 MA
MOHS-Micrographic Surgery Physician 207ND0101X 238976 MA Primary

Addresses

Primary practice location

120 Yarmouth Rd
Hyannis, MA 02601-3040

Mailing address

120 Yarmouth Rd
Hyannis, MA 02601-3040
Phone (508) 957-1650

Other identifiers 1

IdentifierTypeStateIssuer
110083260AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090814000579 MA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 5698829331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Yarmouth Rd
Hyannis, MA 02601-3040
Phone (508) 957-1650

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision67
Removal of skin lesions1906
Removal of skin cancer2463
Skin biopsy1549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238976MAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Surgery Center of Cape Cod P.C. Dermatology CurrentSince Jan 1, 2016 Accepting new patients
Evans Medical Foundation, Inc. Past Accepting new patients

Locations

120 Yarmouth Rd
Hyannis, MA 02601
Phone (508) 957-1650

Organizations & group practices 2

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1609087774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 YARMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013040",
            "telephone_number": "508-957-1650",
            "fax_number": "508-957-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 YARMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013040",
            "telephone_number": "508-957-1650",
            "fax_number": "508-957-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "EMILY",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "238976",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "238976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110083260A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.