Doctor profile · Federal record
Dr. Kenneth Ralto, M.D.
Nephrology Physician (CMS: Nephrology) · Internal Medicine Physician · Critical Care Medicine (Internal Medicine) Physician · Worcester, MA
- NPI 1770877193
- Accepts Medicare
- MIPS 89.0 / 100 · 2023
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
55 Lake Ave N
Worcester, MA 01655
(508) 856-3155
fax (508) 856-3111 - Additional location
-
157 Union St
Marlborough, MA 017521228
(508) 486-5435 - Additional location
-
85 Prescott St
Worcester, MA 016052610 - Mailing address
-
Po Box 415348
Boston, MA 022415348
Credentials & registration
- NPI registered
- June 2011 — 15 yrs on file
- Profile last updated
- July 28, 2021
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207RN0300X — NUCC code
- State license (1)
- Massachusetts #265176
- Medicaid
- MA #110124521A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770877193. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,071
Distinct HCPCS
10
Medicare allowed
$161,504
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 272 | 164 | $81 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 156 | 89 | $121 | |
99291 |
Critical care, first 30-74 minutes | 101 | 39 | $216 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 100 | 66 | $132 | |
90961 |
Dialysis services, 2-3 physician visits per month (20 years or older) | 94 | 18 | $307 | |
90960 |
Dialysis services, 4 or more physician visits per month (20 years or older) | 75 | 18 | $368 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 68 | 66 | $133 | |
90935 |
Hemodialysis procedure with physician evaluation | 48 | 35 | $73 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 43 | 34 | $99 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 38 | 38 | $177 |
In context: peer comparison
Among 15 peers in Worcester Nephrology Physician, average services per provider: 91. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$114
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Nxstage Medical, INC. | 1 | $110.94 | |
| Travere Therapeutics, INC. | 1 | $2.66 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
835
Patients
193
Total drug cost
$143,838
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 107 | 29 | $889 |
| Valsartan | Generic | 103 | 33 | $5,058 |
| Torsemide | Generic | 100 | 28 | $3,301 |
| Jardiance (Empagliflozin) | Brand | 72 | 11 | $67,354 |
| Lisinopril | Generic | 62 | 21 | $797 |
| Furosemide | Generic | 61 | 15 | $448 |
| Clinolipid (Fat Emulsion/Olive/Soy/Phospho) | Brand | 52 | 0 | $14,632 |
| Losartan Potassium | Generic | 46 | 12 | $686 |
| Veltassa (Patiromer Calcium Sorbitex) | Brand | 46 | 0 | $47,450 |
| Allopurinol | Generic | 35 | 0 | $555 |
Hospital affiliations
Frequently asked questions
What is Dr. Kenneth Ralto's medical specialty?
Dr. Kenneth Ralto practices Nephrology Physician in Worcester, MA.
Where does Dr. Kenneth Ralto practice?
Dr. Kenneth Ralto practices at 55 Lake Ave N, Worcester, MA 01655. Office phone: 5088563155.
What is Dr. Kenneth Ralto's NPI?
Dr. Kenneth Ralto's National Provider Identifier (NPI) is 1770877193, issued by NPPES.
Does Dr. Kenneth Ralto accept Medicare assignment?
Yes. Dr. Kenneth Ralto accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Ralto commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.