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Michael J Tierney, MD

Emergency Medicine · Fremont

NPI 1104872415

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
12
1 carrier
Office
1

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

12 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Tierney’s office at (510) 490-1222 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence C55929 · Current

Licensed to practise in California · since 2013 · expires 2028-10-31 · State University of New York at Stony Brook Health Sciences Center.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$37,773

Medicare paid this office $37,773 for 322 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)91$10,600$112
New patient visit (30+ min)109$10,291$94
Short return visit (20+ min)107$8,799$76
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus24$3,355$140
New patient visit (45+ min)12$1,918$160
See all 8 services
Every Original Medicare service billed
Return visit (30+ min)91$10,600$112
New patient visit (30+ min)109$10,291$94
Short return visit (20+ min)107$8,799$76
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus24$3,355$140
New patient visit (45+ min)12$1,918$160
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)14$227$16
Injection of drug or substance under skin or into muscle11$144$13
Automated urinalysis test17$37$2

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue1-10None
Removal of skin lesions1-10None
Removal of tissue1-10None

Who their Medicare patients are

322 Original Medicare patients in 2024. Average age 76 · Women 57% · Also on Medicaid 6% · Health risk score 0.92. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 66% · Diabetes 23% · Coronary heart disease 22% · Chronic kidney disease 18% · Atrial fibrillation 17% · Cancer 16% · Depression 15% · COPD 9% · Heart failure 8% · Stroke 6% · Dementia 5%.

The office billed $134,047, Medicare allowed $51,840 and paid $37,773; for 510 services of 42 kinds; $48 of it was for drugs given in the office and $37,725 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024322510760.92$134,047$37,773
2023352568760.97$134,760$39,711
2022318523750.99$103,743$30,351
2021263454760.91$88,840$28,967
2020222340751.18$67,579$18,089
2019216356761.10$70,750$18,650
20181311,065761.14$37,225$10,303

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 8 services

Original Medicare services billed in 2023
Short return visit (20+ min)153$12,782$78
Return visit (30+ min)102$11,499$108
New patient visit (30+ min)88$8,121$92
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus17$2,376$140
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen19$955$50
Injection of drug or substance under skin or into muscle15$216$13
Automated urinalysis test20$48$2
Urinalysis, manual test12$41$3

2022: 9 services

Original Medicare services billed in 2022
Short return visit (20+ min)181$14,526$78
Return visit (30+ min)44$4,791$106
New patient visit (15+ min)59$3,118$53
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen21$1,117$51
New patient visit (30+ min)12$975$81
Injection of drug or substance under skin or into muscle17$217$13
Urinalysis, manual test17$59$3
Automated urinalysis test16$38$2
Injection, ceftriaxone sodium, per 250 mg11$16None

2021: 8 services

Original Medicare services billed in 2021
Short return visit (20+ min)140$12,321$84
Return visit (30+ min)31$4,197$127
Long return visit (40+ min)18$3,217$169
New patient visit (15+ min)40$2,460$62
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen32$1,642$51
New patient visit (30+ min)19$1,469$77
Urinalysis, manual test19$66$3
Insertion of needle into vein for collection of blood sample14$42$3

2020: 7 services

Original Medicare services billed in 2020
Short return visit (20+ min)122$8,297$66
Return visit (30+ min)56$5,067$89
New patient visit (15+ min)25$1,388$56
New patient visit (30+ min)13$1,056$81
Urinalysis, manual test13$45$3
Insertion of needle into vein for collection of blood sample11$33$3
Automated urinalysis test11$25$2

2019: 6 services

Original Medicare services billed in 2019
Return visit (30+ min)63$6,129$97
Short return visit (20+ min)82$4,623$53
New patient visit (30+ min)34$3,283$97
New patient visit (45+ min)13$1,841$142
New patient visit (15+ min)23$1,240$54
Automated urinalysis test13$34$2

2018: 2 services

Original Medicare services billed in 2018
Short return visit (20+ min)89$5,461$61
Return visit (30+ min)36$3,608$100

Drugs they prescribed that Part D paid

$3,548

Pharmacies billed $3,548 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

160 generic and fewer than 11 brand-name prescriptions · $3,548 in drug cost · 86 antibiotic prescriptions to 74 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Cephalexin21$161$7
Azithromycin15$98$7
Amoxicillin-Clavulanate Potass14$51$3

Year by year

Part D prescribing by year
2024189149NoneNone$3,548
2023183142None7%$2,814
2022150124NoneNone$2,341
202110878None19%$6,432
20206253NoneNone$2,831
201910281None13%$2,786
20185242NoneNone$2,208

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Paxlovid (Eua)12$107$9
Amoxicillin-Clavulanate Potass17$97$6
Azithromycin15$75$5

2022: 3 drugs

Part D drugs prescribed in 2022
Cephalexin20$179$9
Amoxicillin-Clavulanate Potass14$146$10
Azithromycin17$94$6

2021: 1 drug

Part D drugs prescribed in 2021
Cephalexin13$88$7

2020: 1 drug

Part D drugs prescribed in 2020
Cephalexin11$86$8

2019: 1 drug

Part D drugs prescribed in 2019
Cephalexin13$116$9

Professional record

NPI
1104872415
Licence
CA C55929California C55929: Current · expires 2028-10-31
Trained
State University of New York at Stony Brook, School of Medicine, 1999
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2006-05-26
NPI last updated
2020-02-18
NPI record certified
2020-02-18

This is when the NPI record was last certified, not a medical board exam.