JACOB J RISTOW MD
NPI 1285162883
Orthopaedic Surgery - Sports Medicine in Minneapolis, MN
About Jacob J Ristow Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB J RISTOW MD (NPI 1285162883) is an individual sports medicine provider in Minneapolis, Minnesota, licensed in Minnesota (70941) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob J Ristow 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.
Medicare Billing Reassignments
8Medicare enrollment records show Jacob Ristow reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 693 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairview Lakes Health Services
Acute Care Hospitals · Wyoming, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNM Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Jacob Ristow's NPI number?
The NPI number for Jacob Ristow is 1285162883. It was assigned to this individual provider in the NPPES registry on May 25, 2017.
Where is Jacob Ristow located?
Jacob Ristow practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.
What is Jacob Ristow's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is Jacob Ristow enrolled in Medicare?
Yes. Jacob Ristow 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.
Which organizations bill Medicare for Jacob Ristow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Ristow reassigns Medicare benefits to 8 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), Group Health, Inc. (Minneapolis, MN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Ristow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Ristow accept?
Health plans from HealthPartners and Sanford Health Plan list Jacob Ristow 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 Jacob Ristow affiliated with any hospitals?
According to CMS data, Jacob Ristow is affiliated with Fairview Lakes Health Services, M Health Fairview University Of Mn, M Health Fairview Ridges Hospital and M Health Fairview Woodwinds Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Ristow was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Jacob J Ristow, MD · NPI 1285162883
Sports Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 25, 2017.
## Identity
- **NPI:** 1285162883 (Entity type: Individual)
- **Enumerated:** May 25, 2017
- **Primary specialty:** Orthopaedic Surgery - Sports Medicine · taxonomy 207XX0005X
- **State license:** 70941 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 FULTON ST SE, Minneapolis, MN 55455-4800
- **Phone:** (612) 273-8383
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Group Health, Inc. (NPI 1700932449, Minneapolis, MN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2017
## Record status
- **NPPES last updated:** August 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285162883) · Data from the CMS NPPES public registry.