Individual provider Active NPI

Jon Trister, M.D.

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1639131352
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80587 Issued in MA
Practice address
10 Winthrop St
Worcester, MA 01604-4435
Phone
(508) 754-9950
Fax
(508) 754-2592
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80587 MA Primary

Addresses

Primary practice location

10 Winthrop St
Worcester, MA 01604-4435

Mailing address

10 Winthrop St
Worcester, MA 01604-4435
Phone (508) 754-9950

Other identifiers 14

IdentifierTypeStateIssuer
784631OtherMAEMPIRE B/C NY
080587OtherMATUFTS
431050OtherMACMHC
735473 101683OtherMAAETNA
985162OtherMANETWORK
0400053OtherMAUNITED HEALTH CARE
431050PROtherMAHEALTHSOURCE
0735473 CAP # 44559OtherMAUS HEALTH CARE
3144941MedicaidMA
J16290OtherMABLUE CROSS BLUE SHIELD
29736OtherMAFALLON
66212OtherMAHARVARD PILGRIM
0400664OtherMAEVER CARE
1928586OtherMACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000791 MA Practitioner - Internal Medicine 4486600954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vernon Integrative Medical Group LLCGroup PAC ID 9133282304, 2 clinicians

Practice addresses (Care Compare)

141 Massasoit Rd
Worcester, MA 01604-3318
Phone (508) 754-9950

141 Massasoit Rd
Worcester, MA 01604-4435

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as individual
Quality
66.65
Improvement activities
40
Cost
82.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions33
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Integrative Medical Group LLC Internal Medicine CurrentSince Mar 3, 2014 Accepting new patients
Vernon Integrative Medical Group, LLC Internal Medicine CurrentSince Mar 3, 2014 Accepting new patients

Locations

141 Massasoit Rd
Worcester, MA 01604
Phone (508) 754-9950

10 Winthrop St
#M
Worcester, MA 01604
Phone (508) 754-9950

10 Winthrop St
Worcester, MA 01604
Phone (508) 754-9950

Interoperability endpoints

  • Direct secure messaging: jon.trister.1@2463.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2463/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639131352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-754-9950",
            "fax_number": "508-754-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-754-9950",
            "fax_number": "508-754-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRISTER",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE B/C NY",
            "identifier": "784631",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "080587",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMHC",
            "identifier": "431050",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "735473 101683",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK",
            "identifier": "985162",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0400053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE",
            "identifier": "431050PR",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH CARE",
            "identifier": "0735473 CAP # 44559",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3144941",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J16290",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "29736",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "66212",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVER CARE",
            "identifier": "0400664",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1928586",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.