NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1568091189 MD
Verify on CMS → Grant Ralston, MD
Sports Medicine (Family Medicine) Physician in Springfield, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
601
Medicare Part D claims · 54 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
82%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$43.76
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Grant Ralston, MD filed 601 Medicare Part D claims in 2023 as a Sports Medicine (Family Medicine) Physician in Springfield, Missouri, prescribing 82% generic.
- 601
- Part D claims, 2023
- 82%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Grant Ralston, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
601 Top 31% higher than 69% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Grant Ralston, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Grant Ralston, MD?
Quality data not reportedPrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
601 52% vs specialty avg
Specialty distribution in Missouri
How Sports Medicine (Family Medicine) Physician compares to other specialties among Missouri providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Family Medicine) Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Grant Ralston, MD appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding MD credentials at 3555 S NATIONAL AVE, Springfield, MO, 65807, with a listed phone of (000) 000-0000. NPI 1568091189 was issued on 04/06/2020.
Medicare Part D records for calendar year 2023 show 601 prescription claims written by this provider, covering 54 Medicare beneficiaries and totaling roughly $56K in drug spend, split 14% brand-name and 82% generic by claim count.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1568091189 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/06/2020 |
Hospital and facility affiliations
Facilities where Grant Ralston, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Lester E Cox Medical Centers
Lebanon, MO
Lester E Cox Medical Centers
Springfield, MO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Grant Ralston, MD. Source: openpaymentsdata.cms.gov.
Total received
$44
Largest payer
VERTEX PHARMACEUTICALS INCORPORATED
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Grant Ralston, MD - brand share 14.0%
Sports Medicine (Family Medicine) Physician average
14% brand-name claims vs 82% generic, on 601 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
601
Total Claims
$56K
Total Drug Cost
54
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 977
- Total Day Supply
- 27,569
- Brand vs Generic
- 14% brand / 82% generic
- Brand Drug Cost
- $48K
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 63.6 years
- Avg HCC Risk Score
- 1.74
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 21, 65-74: 25, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Grant Ralston, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
66 claims
- Duloxetine Hcl
Duloxetine Hcl
27 claims
- Lisinopril 26
Lisinopril
26 claims
- Metformin Hcl 18
Metformin Hcl
18 claims
- Aripiprazole 15
Aripiprazole
15 claims
- Benztropine Mesylate 15
Benztropine Mesylate
15 claims
- Ezetimibe 15
Ezetimibe
15 claims
- Glipizide Er 15
Glipizide Er
15 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 66 |
| Duloxetine Hcl | 27 |
| Lisinopril | 26 |
| Metformin Hcl | 18 |
| Aripiprazole | 15 |
| Benztropine Mesylate | 15 |
| Ezetimibe | 15 |
| Glipizide Er Glipizide | 15 |
| Januvia Sitagliptin Phosphate | 15 |
| Omega-3 Acid Ethyl Esters | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in MO →
All providers in Missouri →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Grant Ralston, MD fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Grant Ralston, MD's 601 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Ralston.
Dr. Jackson Bagby
DO
Branson, MO
Dr. Daniel Chilcote
DO
Kansas City, MO
Dr. Kristian De Nagel
MD
Lees Summit, MO
Dr. John Dougherty
DO
Kansas City, MO
Dr. Thomas Dougherty
MD
Saint Louis, MO
Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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How insurance networks affect your costs
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Explore Missouri
Frequently Asked Questions
What is Grant Ralston, MD's specialty? ▼
Grant Ralston, MD specializes in Sports Medicine (Family Medicine) Physician and practices in Springfield, Missouri. Credentials: MD.
How much does Grant Ralston, MD prescribe under Medicare Part D? ▼
In 2023, Grant Ralston, MD wrote 601 Medicare Part D claims totaling $56K in drug costs for 54 beneficiaries.
Where is Grant Ralston, MD located? ▼
Grant Ralston, MD is located at 3555 S NATIONAL AVE, Springfield, MO, 65807. Phone: (000) 000-0000.
What is Grant Ralston, MD's NPI number? ▼
Grant Ralston, MD's National Provider Identifier (NPI) is 1568091189, issued on 04/06/2020.
Does Grant Ralston, MD prescribe more brand-name or generic drugs? ▼
Grant Ralston, MD's prescribing is 14% brand-name and 82% generic drugs by claim count, with $48K in brand drug costs.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does Grant Ralston, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Grant Ralston, MD's most frequently prescribed drugs include Atorvastatin Calcium, Duloxetine Hcl, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Grant Ralston, MD accept Medicare? ▼
Grant Ralston, MD appears in CMS Medicare data with 601 Part D claims and 54 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Grant Ralston, MD's credentials? ▼
Grant Ralston, MD's NPI is 1568091189 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.