DEBORAH H RALSTON (MD) – Family Medicine Physician, NPI 1063432953

DEBORAH H RALSTON (MD) is a healthcare provider. based in Shellsburg, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 42151 (WI). The NPI Number for DEBORAH H RALSTON (MD) is 1063432953

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH H RALSTON (MD)
NPI
1063432953
Phone
(920) 716-9925
Address
6007 33RD AVENUE DR
Enumeration Date
20 July 2006
Last Update Date
1 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3198743000
Graduation Year
1991 (35 years ago)
PAC ID
9234222035
Group Practice PAC ID
6406746668
Professional Enrollment ID
I20180119000965
Address ID
IA507034407WA905XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for DEBORAH H RALSTON (MD)

  • 6007 33RD AVENUE DR

    SHELLSBURG, IA 523329569

    Phone: (920) 716-9925

    Type: Location

  • Peoples Community Health Clinic, 905, Franklin Street, Waterloo, Black Hawk County, Iowa, 50703, United States

    WATERLOO, IA 507034407

    Phone: (319) 874-3000

    Fax: (319) 874-3411

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-01-19

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
I20180119000965IFamily PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52332)

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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: 6406746668View full group profile
NameSpecialtyState
Physician AssistantWI
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Physician AssistantIA
Internal MedicineIA
Mental Health CounselorIA
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEBORAH H RALSTON (MD)?
DEBORAH H RALSTON (MD) — NPI 1063432953 — is the standard way to identify this listing.
Does the file indicate DEBORAH H RALSTON (MD) is practicing under active NPI?
Directory data currently reports DEBORAH H RALSTON (MD) as active.
What is DEBORAH H RALSTON (MD)'s specialty?
The listing groups DEBORAH H RALSTON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DEBORAH H RALSTON (MD) based?
DEBORAH H RALSTON (MD) is tied to Shellsburg, Iowa in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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