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Compare the published Medicare service mix of Amber Lynn Reighard Tierney, M.D. with clinicians in the same registry specialty: Gastroenterology (CMS).

WEST DES MOINES, IA · Exact areaEdit location

2024 published service data · 8 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Jonathan Andrew Fahler, DO

Gastroenterology (CMS) · West Des Moines, IA

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
93%Service-mix similarityView profile →

Tyler David Aasen, D.O.

Gastroenterology (CMS) · West Des Moines, IA

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
91%Service-mix similarityView profile →

Clayton Wayne Jordan, D.O.

Gastroenterology (CMS) · West Des Moines, IA

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
90%Service-mix similarityView profile →

Laura Lee Dakovich, DO

Gastroenterology · Internal Medicine (CMS) · West Des Moines, IA

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
90%Service-mix similarityView profile →

Christopher M Gibbs, MD

Gastroenterology (CMS) · West Des Moines, IA

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
88%Service-mix similarityView profile →

Ramon Santiago Reyes, M.D.

Gastroenterology (CMS) · West Des Moines, IA

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
84%Service-mix similarityView profile →

Shawn M. Hancock, D.O.

Gastroenterology (CMS) · West Des Moines, IA

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
81%Service-mix similarityView profile →

Justin Chad Rice, MD

Gastroenterology (CMS) · West Des Moines, IA

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
77%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.