Tristen Ruthanne Case, PA-C
NPI 1174838536ActiveIndividual· Physician Assistant, Medical· Reston, VA
Physician Assistant, Medical (PA-C) with Virginia Spine Institute PLC, practicing in Reston, Virginia. Their prescriptions cost Medicare Part D more than their services did: $46,343 for 1,102 claims, against $3,223 paid for services in 2024. Abbvie Inc. was the largest of 7 companies reporting payments in 2025, $337.50 in all, mostly food and beverage.
Overview
| NPI | 1174838536 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 10, 2010 |
| Last updated in NPPES | Oct 9, 2023 |
| Certified by provider | Oct 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 0110002479 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (DC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 37 across 7 procedure codes |
| Paid by Medicare | $3,223 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,102 · 1,187 30-day fills |
|---|---|
| Patients | 154 |
| Total drug cost | $46,343 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Virginia Spine Institute PLCReston, VA · 10 clinicians
Industry payments (Open Payments)
- 2025$337.50 · 16 payments from 7 companies
- 2024$404.38 · 10 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $136.10 | 5 |
| Collegium Pharmaceutical, Inc. | $65.08 | 4 |
| Vertex Pharmaceuticals Incorporated | $37.64 | 2 |
| Curonix LLC | $35.65 | 2 |
| Scilex Pharmaceuticals Inc. | $22.00 | 1 |
What the 2025 payments were for
- Food and Beverage$337.50 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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