NPI registry status
Active
2026 NPPES data Pediatric Emergency Medicine (Emergency Medicine) Physician NPI 1093715203 MD
Verify on CMS → Andrew Pierce, MD
Pediatric Emergency Medicine (Emergency Medicine) Physician in Johnson City, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 856 in Pediatric Emergency Medicine (Emergency Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
119
Medicare Part D claims · Pediatric Emergency Medicine (Emergency Medicine) Physician avg: 179
MIPS score
75.1/100
▼ 8 pts below national avg 83.5 · Above neutral
What the federal data shows
Andrew Pierce, MD reported a CMS MIPS final score of 75.1/100 - below the 83.5 national average - and filed 119 Medicare Part D claims in 2024.
- 75.1/100
- MIPS score · -8 vs avg
- 119
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥15th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Andrew Pierce, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1093715203), first enumerated 07/29/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 119 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 75.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1093715203 · Pediatric Emergency Medicine (Emergency Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1093715203
- ENUM-LEGACY 2005
- TAX-NARROW 856
- MIPS-BELOW 75.1/100
- RX-LIGHT 119
- BOOK-THIN 34 in Tennessee
- PHOTO-FINISH Bharati Bansal, MD · ±0.5
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Peter Baker, MD …
Peter Baker, MD
74.5 MIPS pts
- Bharati Bansal, …
Bharati Bansal, MD
74.6 MIPS pts
- Amy Cheng, M.D. …
Amy Cheng, M.D.
74.6 MIPS pts
- Pierce · this pr…
Pierce · this provider
75.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Andrew Pierce, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
75 ≥ 15th percentile 15% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Andrew Pierce, MD sits
This provider among pediatric emergency medicine (emergency medicine) physician peers
Across the 25 pediatric emergency medicine (emergency medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Pierce, MD writes more Part D claims than 76% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pediatric emergency medicine (emergency medicine) physician peer from a representative sample of 24; the gold marker is Andrew Pierce, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Andrew Pierce, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Andrew Pierce, MD?
Below national averagePrimary specialty
Pediatric Emergency Medicine (Emergency Medicine) Physician
Medicare Part D claims
119 34% vs specialty avg
MIPS final score
75.1/100 8.4 pts vs avg
Specialty distribution in Tennessee
How Pediatric Emergency Medicine (Emergency Medicine) Physician compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Andrew Pierce, MD's 2023 MIPS final score plotted against the Pediatric Emergency Medicine (Emergency Medicine) Physician national average
- MIPS Final Score
- 75.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1093715203 |
|---|---|
| Specialty | Pediatric Emergency Medicine (Emergency Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/29/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.0659
Final Score
Measured-score avg: 83.5
56.4669
Quality
71.8772
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrew Pierce, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
UT Regional One Physicians Inc
Memphis, TN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
119
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 121.1
- Total Day Supply
- 1,078
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 54.0 years
- Avg HCC Risk Score
- 1.22
More Pediatric Emergency Medicine (Emergency Medicine) Physician in TN →
All providers in Tennessee →
Compare specialties →
Pediatric Emergency Medicine (Emergency Medicine) Physician Overview
How Andrew Pierce, MD fits within the Pediatric Emergency Medicine (Emergency Medicine) Physician landscape nationally.
856
Pediatric Emergency Medicine (Emergency Medicine) Physician Providers in US
44
States with Pediatric Emergency Medicine (Emergency Medicine) Physician
179
Avg Claims per Provider
Andrew Pierce, MD's 119 claims are below the specialty average of 179.
Nationwide Pediatric Emergency Medicine (Emergency Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pierce, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75.1 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatric Emergency Medicine (Emergency Medicine) Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Pierce.
One of 34 Pediatric Emergency Medicine (Emergency Medicine) Physician providers enrolled in Tennessee, 5 are shown here.
Frequently Asked Questions
What is Andrew Pierce, MD's specialty? ▼
Andrew Pierce, MD specializes in Pediatric Emergency Medicine (Emergency Medicine) Physician and practices in Johnson City, Tennessee. Credentials: MD.
How much does Andrew Pierce, MD prescribe under Medicare Part D? ▼
In 2024, Andrew Pierce, MD wrote 119 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
What is Andrew Pierce, MD's Medicare quality score? ▼
Andrew Pierce, MD has a CMS MIPS Final Score of 75.1/100 (Quality: 56.5, Cost: 71.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Pierce, MD located? ▼
Andrew Pierce, MD is located at 408 N STATE OF FRANKLIN RD, Johnson City, TN, 37604. Phone: (423) 431-1810.
What is Andrew Pierce, MD's NPI number? ▼
Andrew Pierce, MD's National Provider Identifier (NPI) is 1093715203, issued on 07/29/2005.
How many Pediatric Emergency Medicine (Emergency Medicine) Physician providers are there in the US? ▼
There are 856 Pediatric Emergency Medicine (Emergency Medicine) Physician providers across 44 states in the US. The average Pediatric Emergency Medicine (Emergency Medicine) Physician provider writes 179 Medicare Part D claims per year.
Does Andrew Pierce, MD accept Medicare? ▼
Andrew Pierce, MD appears in CMS Medicare data with 119 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Pierce, MD's credentials? ▼
Andrew Pierce, MD's NPI is 1093715203 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.