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ADAM M. RALKO MD
NPI 1265751119
Internal Medicine in Des Peres, MO

Active since May 18, 2010PECOS EnrolledAccepts Medicare Assignment
1000 DES PERES RD, SUITE 310, DES PERES, MO 63131(314) 821-1313 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam M. Ralko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM M. RALKO MD (NPI 1265751119) is an individual internal medicine provider in Des Peres, Missouri, licensed in Missouri (2013027441) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Washington University School Of Medicine (2010).

NPPES Registry Identity

NPI1265751119
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADAM M. RALKOCredential: MD
Location Address1000 DES PERES RD, SUITE 310Des Peres, MO 63131-2050
Mailing Address1000 Des Peres Rd, Suite 310Des Peres, MO 63131-2050 · (314) 821-1313
Phone(314) 821-1313
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2010
Enumeration DateMay 18, 2010
Last NPPES UpdateJanuary 23, 2015
✔ NPI 1265751119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2013027441
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301096219 (MI)
1000 DES PERES RD, Des Peres, MO 63131
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Other Identifiers 2

Medicare PIN152800166MO
OtherP01241117MO · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam M. Ralko Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789818279
PECOS Enrollment IDI20131016001957
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
586 services384 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
340 services340 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
125 services124 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
120 services119 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services54 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
51 services51 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers33 claims110 services$5.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims25 services$1.07 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers17 claims17 services$32.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers18 claims18 services$45.02 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$12.58 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers21 claims126 services$1.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAYLEY M WURZEL MD
Pediatrics
1000 DES PERES RD, STE 280
SAINT LOUIS, MO 63131
St. Louis County (314) 966-8500
ST. JOHN'S MERCY HEALTH SERVICES, LLC
Psychologist (Addiction (Substance Use Disorder))
1000 DES PERES RD, SUITE 200C
SAINT LOUIS, MO 63131
St. Louis County (314) 729-4639
BONE & JOINT CHIROPRACTIC, LLC
Chiropractor
1000 DES PERES RD, STE 120
SAINT LOUIS, MO 63131
St. Louis County (314) 628-5200
DR. MISTY CRIDER DAY M.D.
Obstetrics & Gynecology
1000 DES PERES RD, SUITE 100
SAINT LOUIS, MO 63131
St. Louis County (314) 729-4440
DR. LEO A WHITESIDE M.D.
Specialist
1000 DES PERES RD, SUITE 120
SAINT LOUIS, MO 63131
St. Louis County (314) 205-2223
KAREN A. MCMAHON
Social Worker (Clinical)
1000 DES PERES RD, SUITE 200-C
SAINT LOUIS, MO 63131
St. Louis County (314) 729-4600
DR. SANAA WAHEED M.D.
Internal Medicine
1000 DES PERES RD, SUITE 310
DES PERES, MO 63131
St. Louis County (314) 821-1313
DR. JENNIFER LEA ARTER MD
Pediatrics
1000 DES PERES RD, STE 280
SAINT LOUIS, MO 63131
St. Louis County (314) 966-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Ralko's NPI number?

The NPI number for Adam Ralko is 1265751119. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Adam Ralko located?

Adam Ralko practices at 1000 Des Peres Rd Suite 310, Des Peres, MO 63131. The listed phone number is (314) 821-1313.

What is Adam Ralko's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adam Ralko enrolled in Medicare?

Yes. Adam Ralko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Ralko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Adam Ralko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Ralko affiliated with any hospitals?

According to CMS data, Adam Ralko is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital, Mercy Hospital South, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Adam Ralko was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.