Doctor profile · Federal record

Dr. Adam Ralko, MD

Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Des Peres, MO

  • NPI 1265751119
  • Accepts Medicare
  • 16 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1000 des Peres RD, Suite 310
Des Peres, MO 631312050
(314) 821-1313

Credentials & registration

NPPES · NUCC
NPI registered
May 2010 — 16 yrs on file
Profile last updated
January 23, 2015
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
207R00000X — NUCC code
State licenses (2)
Missouri #2013027441 · Michigan #4301096219

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1265751119. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,444
Distinct HCPCS
10
Medicare allowed
$175,594
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 664 371 $126
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 309 309 $128
G0008 Administration of influenza virus vaccine 105 104 $30
90662 Influenza vaccine split virus, preservative free 101 100 $72
99215 Established patient office or other outpatient visit, 40-54 minutes 71 48 $177
99496 Transitional care management services for problem of high complexity 35 28 $273
G0009 Administration of pneumococcal vaccine 35 35 $30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 30 30 $164
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 28 28 $282
91320 Sarscv2 vac 30mcg trs-suc im 28 28 $128

In context: peer comparison

Among 4 peers in Des Peres Internal Medicine Physician, average services per provider: 89. This provider delivers 16× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$63
Transactions
4
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Pfizer INC. 2 $32.96
GlaxoSmithKline, LLC. 2 $29.85

By nature of payment

Food and Beverage
$63

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
4,380
Patients
1,390
Total drug cost
$119,361
Drug Type Claims Patients Total cost
Rosuvastatin Calcium Generic 707 217 $9,890
Atorvastatin Calcium Generic 670 197 $7,066
Amlodipine Besylate Generic 404 114 $2,623
Levothyroxine Sodium Generic 367 90 $4,861
Losartan Potassium Generic 315 84 $3,797
Alprazolam Generic 247 76 $1,669
Pantoprazole Sodium Generic 222 66 $3,884
Omeprazole Generic 218 64 $4,039
Arexvy (Rsvpref3 Antigen/As01e/Pf) Brand 211 211 $68,265
Lisinopril Generic 198 54 $1,643

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Adam Ralko's medical specialty?
Dr. Adam Ralko practices Internal Medicine Physician in Des Peres, MO.
Where does Dr. Adam Ralko practice?
Dr. Adam Ralko practices at 1000 des Peres RD, Des Peres, MO 631312050. Office phone: 3148211313.
What is Dr. Adam Ralko's NPI?
Dr. Adam Ralko's National Provider Identifier (NPI) is 1265751119, issued by NPPES.
Does Dr. Adam Ralko accept Medicare assignment?
Yes. Dr. Adam Ralko accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Adam Ralko commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Administration of influenza virus vaccine (HCPCS G0008). Source: CMS Medicare Physician & Other Practitioners file.