TRICIA AGUSTIN (MD) – Family Medicine Physician, NPI 1063691673
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for TRICIA AGUSTIN (MD)
272 NW Medical Loop Ste B
Roseburg, OR 974715545
Phone: (547) 591-8007
Type: Location
2525 12th St SE Ste 260
Salem, OR 973022282
Phone: (971) 701-9058
Type: Location
3369 NE Stephens St Ste 100
Roseburg, OR 974701200
Phone: (541) 677-8900
Fax: (547) 677-8903
Type: Location
5255 E Williams Cir Ste 3000
Tucson, AZ 857117407
Phone: (520) 392-8400
Type: Location
Corporate Circle, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States
HENDERSON, NV 890747760
Phone: (702) 910-3950
Fax: (702) 778-2264
Type: Mailing
239, North Green Valley Parkway, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States
HENDERSON, NV 890747704
Phone: (702) 844-4841
Fax: (702) 844-4844
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $975.
Total Amount is formed as General ($975) + Research ($0) + Ownership ($0) = $975.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($230).
Total Amount
$975
General + Research + Ownership
Payments
38
Total payment records
General Amount
$975
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $230 |
| PFIZER INC. | $170 |
| Amgen Inc. | $136 |
| Novo Nordisk Inc | $123 |
| Lilly USA, LLC | $111 |
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: 2011-03-16
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 |
|---|---|---|---|---|
| I20110316000219 | I | Family Practice | NV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 513 | 309 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 309 | 309 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 254 | 189 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 47 | 47 | $0 |
| G0008 | Administration of influenza virus vaccine | 47 | 47 | $0 |
Insurance plans in this area (ZIP 97471)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| Nurse Practitioner | OR | |
| Geriatric Medicine | AZ | |
| - | NV | |
| - | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| Family Practice | NV | |
| - | NV | |
| Nurse Practitioner | NV |
Reviews
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