NPPES file of Aug 9, 2026

Tristen Ruthanne Case, PA-C

Medical Physician Assistant · Reston, VA

Tristen Ruthanne Case, PA-C is a medical physician assistant with a practice address in Reston, Virginia, and NPI 1174838536, issued on Aug 10, 2010. Check the license (Virginia 0110002479, as entered in NPPES) with the Virginia board that licenses this profession; 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
1174838536
Name
Tristen Ruthanne Case
Credential
PA-C
Primary taxonomy
Medical Physician Assistant 363AM0700X
License number
0110002479 VA
Self-reported in NPPES; status is on the state search
Practice location
11800 Sunrise Valley Dr, Reston, VA 20191
Phone
(703) 709-1114
Enumerated
Aug 10, 2010
Record last updated
Oct 9, 2023
Fax
(703) 709-1117
Medicare enrollment
Enrolled (PECOS I20110527000351); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
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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Also registered at 11800 Sunrise Valley Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Melissa Conway, DPTPhysical Therapist1861901415
  2. Kevin DandyPhysical Therapist1912079310
  3. Paul Ellington, DPTOrthopedic Physical Therapist1508385915
  4. John Fainsan, MSPT, CSCSPhysical Therapist1548211840
  5. Terry Garvert, MDFamily Medicine Physician1669436309
  6. Earl Grine, PT, MSPT, ATC, CSCSPhysical Therapist1346323474

Verify Tristen Ruthanne Case in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Virginia board licenses this profession
    Search for license 0110002479
    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
Find the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4% fewer Medicare Part D claims than the average medical physician assistant in 2024

1,102 Medicare Part D claims for 154 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims. 480 claims were for opioids.

  1. Tristen Case1,102
  2. Specialty average1,148

Most prescribed

  1. Gabapentin136 claims
  2. Oxycodone-Acetaminophen109 claims
  3. Oxycodone Hcl104 claims
  4. Hydrocodone-Acetaminophen93 claims
  5. Pregabalin54 claims
  6. Cyclobenzaprine Hcl53 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): 74.1 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. Qualityout of 100 · 30% of the final score85.6
  2. Costout of 100 · 30%40.0
  3. Promoting interoperabilitynot scored (reweighted)
  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: $404.38

10 payments; by number, the most common kind was food and beverage; the largest payer was Sanara MedTech Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Tristen Case$404.38
  2. Specialty average$1,055.00

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. Virginia Spine Institute PLCReston, VA

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

Tristen Ruthanne Case among 941 medical physician assistant records in Virginia

Tristen Ruthanne Case, PA-C is one of 941 medical physician assistant records with a practice address in Virginia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 40% of them.

  • NPI issued2010 · 40% of these records are older, 56% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2006 · median 2014 among the 525 with a school on file
  • Record last updated2023 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

21 medical physician assistant records list a practice address in Reston

They are 21 of the 1,676 NPPES records with a practice address in Reston, and 941 medical physician assistant records in Virginia.

The 8 medical physician assistant records with the nearest ZIP codes

  1. Wendy Cohen, P.A.Reston, VA 201911952553935
  2. Colleen Kelley, PA-CReston, VA 201911861433088
  3. Deanna Markley, PAReston, VA 201911821279381
  4. Barbara Parkinson, PACReston, VA 201911891960407
  5. Emily WeltyReston, VA 201911780155911
  6. Shannon Asko, PAReston, VA 201901730153313
  7. Angelique Black, PAReston, VA 201901932127644
  8. Jacqueline Boulris, PA-CReston, VA 201901639937154

Common questions

What is Tristen Ruthanne Case, PA-C's NPI number?

Tristen Ruthanne Case, PA-C's National Provider Identifier (NPI) is 1174838536, issued on Aug 10, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Tristen Ruthanne Case, PA-C located?

The NPPES record lists a practice address at 11800 Sunrise Valley Dr, Reston, VA, 20191. Phone: (703) 709-1114. Providers update this record themselves, so call before visiting.

How can I verify Tristen Ruthanne Case, PA-C's license?

NPPES lists Virginia license number 0110002479, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.

How much does Tristen Ruthanne Case, PA-C prescribe under Medicare Part D?

In 2024, Tristen Ruthanne Case, PA-C had 1,102 Medicare Part D claims for 154 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.

What is Tristen Ruthanne Case, PA-C's MIPS final score?

The 2023 MIPS final score is 74.1 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.