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. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
13
Medicare Part D claims · Pediatric Emergency Medicine (Emergency Medicine) Physician avg: 227
MIPS score
75.0659/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

ANDREW PIERCE, MD reported a CMS MIPS final score of 75.0659/100 — below the 83.1 national average — and filed 13 Medicare Part D claims in 2023.

75.0659/100
MIPS score · -8 vs avg
13
Part D claims, 2023
Likely
board-certified (heuristic)

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.

ANDREW PIERCE, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 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 average

NPI registry status

Active

Issued 07/29/2005

NPI 1093715203

Primary specialty

Pediatric Emergency Medicine (Emergency Medicine) Physician

Niche

837 US NPIs in this specialty

Medicare Part D claims

13 94% vs specialty avg

2023 prescription claims

Specialty avg: 227

MIPS final score

75.0659/100 8.034099999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Pediatric Emergency Medicine (Emergency Medicine) Physician compares to other specialties among Tennessee providers

Tennessee providers

Pediatric Emergency Medicine (Emergency Medicine) Physician share within Tennessee

1. Pediatric Emergency Medicine (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Emergency Medicine (Emergency Medicine) Physician share within Tennessee

Medicare quality performance — MIPS

ANDREW PIERCE, MD's 2023 MIPS final score plotted against the Pediatric Emergency Medicine (Emergency Medicine) Physician national average

Below national average
MIPS Final Score
75.0659/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Emergency Medicine (Emergency Medicine) Physician) — 75.0659/100 vs national avg 83.1

0%100%National avg83%75.1%
MIPS final score (Pediatric Emergency Medicine (Emergency Medicine) Physician) — 75.0659/100 vs national avg 83.1

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).

ANDREW PIERCE, MD appears in the CMS NPPES registry as a Pediatric Emergency Medicine (Emergency Medicine) Physician provider holding MD credentials at 408 N STATE OF FRANKLIN RD, JOHNSON CITY, TN, 37604, with a listed phone of (423) 431-1810. NPI 1093715203 was issued on 07/29/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIERCE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 13 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $113 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.0659/100 for the 2023 performance year (Quality 56.4669, Cost 71.8772), compared with the national average of 83.1.

Pediatric Emergency Medicine (Emergency Medicine) Physician is a narrow specialty nationwide, with 837 enrolled providers across 45 states and an average of 227 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

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
Avg: 83.1
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 2023.

13
Total Claims
$113
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13
Total Day Supply
179
Generic Drug Cost
$65

Patient Demographics

Average Patient Age
80.7 years
Avg HCC Risk Score
1.20

Pediatric Emergency Medicine (Emergency Medicine) Physician Overview

How ANDREW PIERCE, MD fits within the Pediatric Emergency Medicine (Emergency Medicine) Physician landscape nationally.

837
Pediatric Emergency Medicine (Emergency Medicine) Physician Providers in US
45
States with Pediatric Emergency Medicine (Emergency Medicine) Physician
227
Avg Claims per Provider

ANDREW PIERCE, MD's 13 claims are below the specialty average of 227.

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.

Compare Pediatric Emergency Medicine (Emergency Medicine) Physician nationally: see state-by-state distribution →

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 2023, ANDREW PIERCE, MD wrote 13 Medicare Part D claims totaling $113 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 75.0659/100 (Quality: 56.4669, Cost: 71.8772). The national average MIPS Final Score is 83.1. 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 837 Pediatric Emergency Medicine (Emergency Medicine) Physician providers across 45 states in the US. The average Pediatric Emergency Medicine (Emergency Medicine) Physician provider writes 227 Medicare Part D claims per year.
Does ANDREW PIERCE, MD accept Medicare?
ANDREW PIERCE, MD appears in CMS Medicare data with 13 Part D claims and N/A Medicare beneficiaries in 2023. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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