JODI RALSTON (MD) – Emergency Medicine Physician, NPI 1013956119

JODI RALSTON (MD) is a healthcare provider. based in Fraser, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301074450 (MI). The NPI Number for JODI RALSTON (MD) is 1013956119

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JODI RALSTON (MD)
NPI
1013956119
Phone
(586) 294-0600
Address
17717 MASONIC
Enumeration Date
5 June 2006
Last Update Date
16 February 2010

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8103422000
Graduation Year
1999 (27 years ago)
PAC ID
5193856532
Group Practice PAC ID
3971416082
Professional Enrollment ID
I20100628001066
Address ID
MI485323638FL401XXHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for JODI RALSTON (MD)

  • 17717, Masonic Boulevard, Fraser, Macomb County, Michigan, 48026, United States

    FRASER, MI 480263158

    Phone: (586) 294-0600

    Mailing address matches the actual address.

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: 2010-06-28

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
I20100628001066IEmergency MedicineMITBD

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
99284Emergency department visit with moderate level of medical decision making102101$0
99285Emergency department visit with high level of medical decision making5655$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2727$0
99283Emergency department visit with low level of medical decision making2727$0
View full utilization report →

Insurance plans in this area (ZIP 48026)

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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: 3971416082View full group profile
NameSpecialtyState
Internal MedicineMI
Emergency MedicineMI
Family PracticeMI
Emergency MedicineIL
-GA
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
-MI
Emergency MedicineMI

Reviews

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Frequently asked questions

How is JODI RALSTON (MD) identified in CMS data?
CMS-hosted NPPES data lists JODI RALSTON (MD) with NPI 1013956119.
Can I rely on JODI RALSTON (MD) being an active provider?
As of the registry snapshot, JODI RALSTON (MD) is marked active.
What is JODI RALSTON (MD) best known for clinically?
Directory data describes JODI RALSTON (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does JODI RALSTON (MD) serve?
JODI RALSTON (MD)'s listing highlights Fraser, Michigan; more addresses can appear in NPPES.
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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