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TRISTAN A IMHOF MD
NPI 1699123968
Family Medicine in Saint Johns, FL

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
2570 RACE TRACK ROAD, SUITE A, SAINT JOHNS, FL 32259(904) 819-1005(904) 819-1002 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 30, 2025, Oct 14, 2021, Aug 28, 2019 (3 updates tracked since 2019).

About Tristan A Imhof Md NPPES

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

TRISTAN A IMHOF MD (NPI 1699123968) is an individual family medicine provider in Saint Johns, Florida, licensed in Florida (ME141969) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1699123968
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTRISTAN A IMHOFCredential: MD
Location Address2570 RACE TRACK ROAD, SUITE ASaint Johns, FL 32259
Mailing AddressPo Box 3266Saint Augustine, FL 32085-3266 · Fax (904) 376-4107
Phone(904) 819-1005
Fax(904) 819-1002
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2016
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1699123968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME141969✔ Licensed in PA · MT211126✔ Licensed in VA · 0101285929
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.
2570 RACE TRACK ROAD, Saint Johns, FL 32259
Open in Google Maps ↗

Secondary Practice Location 1

Location 112341 Yellow Bluff RdJacksonville, FL 32226-2013 · Phone (904) 757-8308 · Fax (904) 757-8338

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

Tristan A Imhof 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 ID2062708092
PECOS Enrollment IDI20250729003720
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 Reassignment

Medicare enrollment records show Tristan Imhof reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Washington Healthcare Physicians
612 mi
Family Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 547 clinicians in this Medicare group
NPI 1295999852 (540) 741-1100

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.35
Promoting Interoperability88.33
Improvement Activities40

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 Tristan Imhof's NPI number?

The NPI number for Tristan Imhof is 1699123968. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Tristan Imhof located?

Tristan Imhof practices at 2570 Race Track Road Suite A, Saint Johns, FL 32259. The listed phone number is (904) 819-1005.

What is Tristan Imhof's specialty?

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

Is Tristan Imhof enrolled in Medicare?

Yes. Tristan Imhof 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 organization bills Medicare for Tristan Imhof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tristan Imhof reassigns Medicare benefits to Mary Washington Healthcare Physicians (Fredericksburg, VA). The 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 Tristan Imhof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tristan Imhof affiliated with any hospitals?

According to CMS data, Tristan Imhof is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Tristan Imhof was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.