TRISTA RAE PENNINGTON (PA-C) – Medical Physician Assistant, NPI 1376103812
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
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Provider Addresses for TRISTA RAE PENNINGTON (PA-C)
55, Alfred Drive, Colchester, New London County, Connecticut, 06415, United States
COLCHESTER, CT 064151767
Phone: (860) 334-7901
Type: Mailing
Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States
NEW HAVEN, CT 065103220
Phone: (203) 688-4242
Type: Location
20 York St
New Haven, CT 065103220
Phone: (203) 688-4242
Type: Location
41 MELBA ST
MILFORD, CT 064607438
Phone: (860) 334-7901
Type: Mailing
267 GRANT ST
BRIDGEPORT, CT 066102805
Phone: (203) 988-5187
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190918001463 | I | Physician Assistant | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 175 | 124 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 59 | 54 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 54 | 54 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 27 | 27 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 06415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| H E M A T O L O G Y/ O N C O L O G Y | CT | |
| Internal Medicine, Nephrology | SC | |
| - | CT | |
| - | NC | |
| Internal Medicine | CT | |
| - | CT | |
| Cardiac Surgery | CT | |
| - | CT | |
| - | CT |
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