NPPES file of Aug 9, 2026

Tristan Ramsey Keys, M.D.

Urology Physician · Asheville, NC

Tristan Ramsey Keys, M.D. is a urology physician with a practice address in Asheville, North Carolina, and NPI 1649538232, issued on May 2, 2012. Check the license (North Carolina 2017-00609, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1649538232
Name
Tristan Ramsey Keys
Credential
M.D.
Primary taxonomy
Urology Physician 208800000X
License number
2017-00609 NC
Self-reported in NPPES; status is on the state search
Practice location
Victoria Urological-Mission, Asheville, NC 28801
Phone
(828) 254-8883
Enumerated
May 2, 2012
Record last updated
Jul 21, 2022
Medicare enrollment
Enrolled (PECOS I20170719000186); accepts Medicare assignment
Medical or professional school
Wake Forest University School Of Medicine, 2011
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Tristan Ramsey Keys in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 2017-00609
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

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2.9 times the Medicare Part D claims of the average urology physician in 2024

3,929 Medicare Part D claims for 996 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 119 claims were for opioids.

  1. Tristan Keys3,929
  2. Specialty average1,340

Most prescribed

  1. Tamsulosin Hcl928 claims
  2. Finasteride575 claims
  3. Solifenacin Succinate497 claims
  4. Myrbetriq371 claims
  5. Alfuzosin Hcl Er161 claims
  6. Estradiol158 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $48.61

2 payments; by number, the most common kind was food and beverage; the largest payer was Medtronic, Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Tristan Keys$48.61
  2. Specialty average$3,800.04

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Mission Health Community Multispecialty Providers LLCAsheville, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Tristan Ramsey Keys among 506 urology physician records in North Carolina

Tristan Ramsey Keys, M.D. is one of 506 urology physician records with a practice address in North Carolina. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 74% of them.

  • NPI issued2012 · 74% of these records are older, 25% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2011 · median 2005 among the 329 with a school on file
  • Record last updated2022 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Urology Physician providers in North Carolina

There are 506 urology physician records in North Carolina.

The 8 urology physician records with the nearest ZIP codes

  1. Bruce Armstrong, MDAsheville, NC 288011205831815
  2. Ricky Bare, M.D.Asheville, NC 288011164414702
  3. James Brien, M.D.Asheville, NC 288011538383658
  4. Michael Burris, MDAsheville, NC 288011417271198
  5. John Cargill, MDAsheville, NC 288011144268939
  6. Brian Cohen, MDAsheville, NC 288011336340579
  7. Andrew Franklin, M.D.Asheville, NC 288011285996140
  8. Alan Friedman, M.D.Asheville, NC 288011336133412

Common questions

What is Tristan Ramsey Keys, M.D.'s NPI number?

Tristan Ramsey Keys, M.D.'s National Provider Identifier (NPI) is 1649538232, issued on May 2, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Tristan Ramsey Keys, M.D. located?

The NPPES record lists a practice address at Victoria Urological-Mission, Asheville, NC, 28801. Phone: (828) 254-8883. Providers update this record themselves, so call before visiting.

How can I verify Tristan Ramsey Keys, M.D.'s license?

NPPES lists North Carolina license number 2017-00609, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Tristan Ramsey Keys, M.D. prescribe under Medicare Part D?

In 2024, Tristan Ramsey Keys, M.D. had 3,929 Medicare Part D claims for 996 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.

What is Tristan Ramsey Keys, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.