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KIMBERLY TUSTISON MD
NPI 1063731297
Obstetrics & Gynecology in Corona, CA

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
21634 RETREAT PKWY, CORONA, CA 92883(951) 493-6814(951) 826-8134 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2025, Feb 25, 2020, Jun 13, 2018 (3 updates tracked since 2018).

About Kimberly Tustison Md NPPES

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

KIMBERLY TUSTISON MD (NPI 1063731297) is an individual obstetrics & gynecology provider in Corona, California, licensed in California (A131535) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063731297
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY TUSTISONCredential: MD
Location Address21634 RETREAT PKWYCorona, CA 92883-6100
Mailing Address21634 Retreat PkwyCorona, CA 92883-6100 · (951) 493-6814 · Fax (951) 826-8134
Phone(951) 493-6814
Fax(951) 826-8134
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 27, 2010
Last NPPES UpdateApril 11, 20253 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1063731297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A131535
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
21634 RETREAT PKWY, Corona, CA 92883
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Secondary Practice Location 1

Location 13390 University Ave Ste 100Riverside, CA 92501 · Phone (844) 827-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Tustison Md 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 ID9830327790
PECOS Enrollment IDI20140821002897
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Tustison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside Medical Clinic, Inc
12 mi
Internal Medicine
7117 BROCKTON AVE
Riverside, CA 92506
  • Reassigned Medicare billing, California enrollment
  • 349 clinicians in this Medicare group
NPI 1730180415 (951) 683-6370
Obhg California, P.C.
2,001 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Obhg California PC
  • 711 clinicians in this Medicare group
NPI 1215258892 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92883 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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.

RIVERSIDE MEDICAL CLINIC, INC
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Riverside County (951) 683-6370
DR. MASSIMO ARCERITO MD
Surgery
21634 RETREAT PKWY
CORONA, CA 92883
Riverside County (951) 278-8870
DR. MISBAH PATEL RASOOL M.D.
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Riverside County (951) 493-6835
MOHAMMAD KHALED SHAHIN MD
Internal Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Riverside County (951) 493-6805
ALEXANDER JAMES GEYER M.D.
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Riverside County (951) 493-6921
JACQUELYN V LACERA MD
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Riverside County (951) 493-6906
DR. MARIO S FICAROLA M.D.
Internal Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Riverside County (951) 493-6926
MANDIRA MANOJ PATEL DO
Internal Medicine (Cardiovascular Disease)
21634 RETREAT PKWY
TEMESCAL VALLEY, CA 92883
Riverside County (951) 493-6905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Tustison's NPI number?

The NPI number for Kimberly Tustison is 1063731297. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Kimberly Tustison located?

Kimberly Tustison practices at 21634 Retreat Pkwy, Corona, CA 92883. The listed phone number is (951) 493-6814.

What is Kimberly Tustison's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Tustison enrolled in Medicare?

Yes. Kimberly Tustison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Tustison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Tustison reassigns Medicare benefits to 2 organizations: Riverside Medical Clinic, Inc (Riverside, CA) and Obhg California, P.C. (Greenville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Tustison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Tustison was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.