DR. TRISTAN J WORTHINGTON DO
NPI 1013590983
Family Medicine in Wyoming, MI

Q: What is Tristan Worthington's NPI number?

The NPI number for Tristan Worthington is 1013590983. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Tristan Worthington's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment

5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200(616) 252-4953 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2024, Apr 29, 2021 (2 updates tracked since 2021).

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About Dr. Tristan J Worthington Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRISTAN J WORTHINGTON DO (NPI 1013590983) is an individual family medicine provider in Wyoming, Michigan, licensed in Michigan (5101028239) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013590983

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TRISTAN J WORTHINGTONCredential: DO

Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606

Mailing Address2215 44th St SwWyoming, MI 49519-6439 · (616) 252-8300 · Fax (616) 252-8393

Phone(616) 252-7200

Fax(616) 252-4953

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 29, 2021

Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1013590983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101028239

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5900 BYRON CENTER AVE SW, Wyoming, MI 49519

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tristan J Worthington Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820490261

PECOS Enrollment IDI20241016004075

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230236

Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW AARON ERCK DO

Internal Medicine