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GRANT RALSTON MD
NPI 1568091189
Family Medicine - Sports Medicine in Springfield, MO

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807(000) 000-0000 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2024, Jul 26, 2023, Jan 18, 2023 and 1 more (4 updates tracked since 2020).

About Grant Ralston Md NPPES

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

GRANT RALSTON MD (NPI 1568091189) is an individual sports medicine provider in Springfield, Missouri, licensed in Missouri (2024017175) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1568091189
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameGRANT RALSTONCredential: MD
Location Address3555 S NATIONAL AVESpringfield, MO 65807-7310
Mailing AddressPo Box 505673Saint Louis, MO 63150-5673
Phone(000) 000-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 6, 2020
Last NPPES UpdateAugust 16, 20244 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1568091189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MO · 2024017175
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3555 S NATIONAL AVE, Springfield, MO 65807
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Secondary Practice Location 1

Location 1201 W. Van Asche DriveFayetteville, AR 72703 · Phone (479) 521-0263 ext. 65310

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Grant Ralston 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 ID5890231849
PECOS Enrollment IDI20240725003463
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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
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.
35 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services20 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
19 services16 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
16 services15 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

JESSICA ANNE HANSON M.D.
Physical Medicine & Rehabilitation
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-6868
JOSHUA BRANDON D.O.
Orthopaedic Surgery (Sports Medicine)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3800
LESTER E. COX MEDICAL CENTERS
Physical Medicine & Rehabilitation
3555 S NATIONAL AVE, #302
SPRINGFIELD, MO 65807
Greene County (417) 269-6868
JILL RUDE FNP
Nurse Practitioner
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (000) 000-0000
KEN J. CARPENTER M.D.
Orthopaedic Surgery
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3800
KARA D. WALKER PA-C
Physician Assistant (Medical)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3246
DR. VELA CHEBOLU M.D.
Orthopaedic Surgery (Hand Surgery)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3000
DR. TREVOR CONNER DO
Orthopaedic Surgery (Sports Medicine)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 875-3000

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 Grant Ralston's NPI number?

The NPI number for Grant Ralston is 1568091189. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Grant Ralston located?

Grant Ralston practices at 3555 S National Ave, Springfield, MO 65807. The listed phone number is (000) 000-0000.

What is Grant Ralston's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Grant Ralston enrolled in Medicare?

Yes. Grant Ralston 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 Grant Ralston accept?

Health plans from Cox HealthPlans list Grant Ralston 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 Grant Ralston affiliated with any hospitals?

According to CMS data, Grant Ralston is affiliated with Cox Medical Centers and Cox Medical Center Branson.

When was this NPI record last updated?

The NPPES record for Grant Ralston was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.