Blue Lot MD PLLC
NPI 1104559160 · Internal Medicine Physician · Charleston, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Lot MD PLLC is a Internal Medicine Physician organization in Charleston, WV (NPI 1104559160).
Provider details
- NPI number
- 1104559160
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Blue Lot MD PLLC
- Organization subpart
- Yes
- Authorized official
- Letitia Tierney, Sole Member(304) 344-2345
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dr. Letitia Tierney
- Doing business as
- Dr. Letitia Tierney
Additional practice locations (1)
- 331 Laidley St Ste 205Charleston, WV 25301-1605Phone: (304) 344-2345Fax: (304) 400-4645
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2022-08-04
- Certified
- 2022-08-04
Frequently asked questions
- What is Blue Lot MD PLLC's NPI number?
- Blue Lot MD PLLC's National Provider Identifier (NPI) is 1104559160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Lot MD PLLC?
- Blue Lot MD PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Lot MD PLLC located?
- Blue Lot MD PLLC's practice location on file with NPPES is 10 Courtney Dr, Charleston, WV 25304-2699.
- What is Blue Lot MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Lot MD PLLC is (304) 344-2345.
- Does Blue Lot MD PLLC accept Medicare?
- Blue Lot MD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Lot MD PLLC?
- The authorized official listed on Blue Lot MD PLLC's NPPES record is Letitia Tierney, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Lot MD PLLC's NPI active?
- Yes — Blue Lot MD PLLC's NPI (1104559160) is active in the NPPES registry as of the last update on 2022-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.