DR. SAMUEL WARREN RALSTON MD
NPI 1891767539
Family Medicine in Waco, TX
Active since February 06, 2006PECOS Enrolled
74.33/100
CMS Quality Rating
6101 WOODWAY DR, SUITE 200, WACO, TX 76712(254) 537-6300(254) 537-6301 Get Directions Write a Review
About Dr. Samuel Warren Ralston Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL WARREN RALSTON MD (NPI 1891767539) is an individual family medicine provider in Waco, Texas, licensed in Texas (F9987) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1891767539
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL WARREN RALSTONCredential: MD
Location Address6101 WOODWAY DR, SUITE 200Waco, TX 76712-6111
Mailing AddressPo Box 18962Belfast, ME 04915-4084 · (800) 566-5050
Phone(254) 537-6300
Fax(254) 537-6301
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJanuary 24, 2017
✔ NPI 1891767539 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F9987
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6101 WOODWAY DR, Waco, TX 76712
Other Identifiers 11
Medicare UPINB25763
Other00N59XTX · Bcbs Of Tx
Medicare PIN80Y494
Other80Y494TX · Bc Bs
Medicaid084249401TX
Medicaid116984902TX
Medicare PINTXB123438
Medicaid116984904TX
Medicare ID-Type Unspecified80Y494TX
Medicare PIN00N59X
Medicare PIN080037943
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Samuel Warren Ralston Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 12
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.
349 services265 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.
236 services236 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.
194 services144 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.
84 services83 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.
80 services79 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
69 services55 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.
Medicare 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.
74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
72.69
Promoting Interoperability
100
Improvement Activities
40
Cost
41.75
Reported Quality Measures
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%106 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
95%22 patients1/55-star benchmark: 100%
Advance Care Plan
91%719 patients4/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
95%20 patients4/55-star benchmark: 100%
Breast Cancer Screening
77%417 patients4/55-star benchmark: 93%
Cervical Cancer Screening
44%310 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
25%40 patients
Closing the Referral Loop: Receipt of Specialist Report
61%545 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
76%990 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
63%828 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
86%29 patients4/55-star benchmark: 100%
Dementia: Cognitive Assessment
20%20 patients
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
23%298 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
16%272 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
11%272 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,859 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
77%725 patients4/55-star benchmark: 100%
HIV Screening
9%885 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%1,503 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
66%1,064 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%1,149 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 76% · 1,460 patients
Patients screened: 80% · 1,460 patients
58%139 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 39% · 1,306 patients
38%1,306 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
82%289 patients4/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%477 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 734 patients
Patients totalRate: 14% · 777 patients
15%777 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims 5
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
10 suppliers42 claims74 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims17 services$1.01 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$4.92 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims192 services$2.50 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier12 claims180 services$8.58 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Ralston's NPI number?
The NPI number for Samuel Ralston is 1891767539. It was assigned to this individual provider in the NPPES registry on February 6, 2006.
Where is Samuel Ralston located?
Samuel Ralston practices at 6101 Woodway Dr Suite 200, Waco, TX 76712. The listed phone number is (254) 537-6300.
What is Samuel Ralston's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samuel Ralston enrolled in Medicare?
Yes. Samuel Ralston is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samuel Ralston was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Samuel Warren Ralston, MD · NPI 1891767539
Family Medicine physician in Waco, Texas. Individual provider, active in the CMS NPPES registry since February 6, 2006.
## Identity
- **NPI:** 1891767539 (Entity type: Individual)
- **Enumerated:** February 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** F9987 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6101 WOODWAY DR, SUITE 200, Waco, TX 76712-6111
- **Phone:** (254) 537-6300 · **Fax:** (254) 537-6301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 24, 2017
- **Other identifiers:** Medicare UPIN B25763; Other 00N59X (TX); Medicare PIN 80Y494; and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1891767539) · Data from the CMS NPPES public registry.