Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TRISTAN ALEXANDER RUIZ MD
NPI 1548957277
Family Medicine in Fort Drum, NY

Q: What is Tristan Ruiz's NPI number?

The NPI number for Tristan Ruiz is 1548957277. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Q: What is Tristan Ruiz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tristan Ruiz was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since April 21, 2023PECOS Enrolled

11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(888) 838-1303 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2026, Jul 6, 2026, Dec 2, 2025 and 2 more (5 updates tracked since 2023).

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About Dr. Tristan Alexander Ruiz Md NPPES

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

DR. TRISTAN ALEXANDER RUIZ MD (NPI 1548957277) is an individual family medicine provider in Fort Drum, New York, licensed in Georgia (101076) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548957277

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TRISTAN ALEXANDER RUIZCredential: MD

Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603

Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603

Phone(888) 838-1303

Sole ProprietorNo

Enumeration DateApril 21, 2023

Last NPPES UpdateJuly 19, 20265 updates tracked since enumeration

NPPES CertifiedJuly 19, 2026

✔ NPI 1548957277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 101076

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 101076 (GA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11050 MT BELVEDERE BLVD, Fort Drum, NY 13602

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tristan Alexander Ruiz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13602 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

DR. MICHAEL HARRIS CARPENTER M.D.

Pediatrics