AUBREY SHEA RALSTON (M.D.) – General Practice Physician, NPI 1053706655

AUBREY SHEA RALSTON (M.D.) is a healthcare provider. based in Fayetteville, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 04-41288 (KS). The NPI Number for AUBREY SHEA RALSTON (M.D.) is 1053706655

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
AUBREY SHEA RALSTON (M.D.)
NPI
1053706655
Phone
(479) 713-8000
Address
1125 N College Ave
Enumeration Date
31 March 2015
Last Update Date
12 September 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3166842851
Graduation Year
2014 (12 years ago)
PAC ID
2668780149
Group Practice PAC ID
1153235015
Professional Enrollment ID
I20180925002676
Address ID
KS672061078WI7111XNXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for AUBREY SHEA RALSTON (M.D.)

  • 1125 N College Ave

    Fayetteville, AR 727031908

    Phone: (479) 713-8000

    Fax: (479) 444-7820

    Type: Location

  • 700 W CENTRAL AVE STE 205

    EL DORADO, KS 670422186

    Phone: (316) 321-2010

    Fax: (316) 321-8871

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 321 Open Payments records for all available years, with a total value of $4,029.

Total Amount is formed as General ($4,029) + Research ($0) + Ownership ($0) = $4,029.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($597).

Total Amount

$4,029

General + Research + Ownership

Payments

321

Total payment records

General Amount

$4,029

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180925002676IFamily PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample209122$0
99213Established patient office or other outpatient visit, 20-29 minutes199125$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count128104$0
99214Established patient office or other outpatient visit, 30-39 minutes10072$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9090$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153235015View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
-KS
Family Practice, Internal Medicine, Cardiovascular Disease (Cardiology)KS
Family PracticeCHIANG MAI
Family PracticeKS
-KS
Family PracticeKS
Family PracticeKS
Family PracticeKS

Reviews

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Frequently asked questions

Can I verify AUBREY SHEA RALSTON (M.D.) with an NPI only?
You can start verification with NPI 1053706655 for AUBREY SHEA RALSTON (M.D.), then check state licensing separately.
Is AUBREY SHEA RALSTON (M.D.) listed as active for patients and plans?
The listing shows AUBREY SHEA RALSTON (M.D.) as active in the NPI system.
What is AUBREY SHEA RALSTON (M.D.) best known for clinically?
Directory data describes AUBREY SHEA RALSTON (M.D.) with General Practice Physician. Clinical services aligned with this taxonomy classification.
Does AUBREY SHEA RALSTON (M.D.) list a practice location?
Patients near Fayetteville, Arkansas may find AUBREY SHEA RALSTON (M.D.) in results; validate coverage separately.
Why does AUBREY SHEA RALSTON (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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