TRISTA MARIE NEWVILLE (D.O.) – Obstetrics & Gynecology Physician, NPI 1528324712
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TRISTA MARIE NEWVILLE (D.O.)
4660 Kenmore Ave Ste 902
Alexandria, VA 223041306
Phone: (703) 370-4300
Type: Location
764 PINE ST
MACON, GA 312012107
Phone: (478) 633-1056
Fax: (478) 749-9171
Type: Mailing
764 Pine St
Macon, GA 312012107
Phone: (478) 633-1056
Fax: (478) 749-9171
Type: Location
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 984311000
Phone: (253) 968-0325
Type: Location
12200 W 106TH ST STE 320
OVERLAND PARK, KS 662152305
Phone: (913) 348-4202
Fax: (478) 749-9171
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($98).
Total Amount
$140
General + Research + Ownership
Payments
3
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $98 |
| Avanos Medical | $26 |
| CooperSurgical, Inc. | $16 |
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: 2022-03-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190723003643 | I | Obstetrics/Gynecology | WA | TBD |
| I20220325000138 | I | Obstetrics/Gynecology | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| - | FL | |
| Nurse Practitioner | WA |
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