CARRIE RONSTROM (MD) – Urology Physician, NPI 1265952907

CARRIE RONSTROM (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 2017020629 (MO). The NPI Number for CARRIE RONSTROM (MD) is 1265952907

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE RONSTROM (MD)
NPI
1265952907
Phone
(314) 362-5000
Address
1 BARNES JEWISH HOSPITAL PLZ
Enumeration Date
23 June 2017
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7153953950
Graduation Year
2017 (9 years ago)
PAC ID
2961774799
Group Practice PAC ID
7113834839
Professional Enrollment ID
I20230117000923
Address ID
WI548806548SU109XXEXXX500
Telehealth
Yes

Contacts

Secure Messaging
him@slk.direct.slhduluth.com
Secure Messaging
hisdept@direct.cloquethospital.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

271 UROLOGY in MO

Provider Addresses for CARRIE RONSTROM (MD)

  • 1 BARNES JEWISH HOSPITAL PLZ

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-5000

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    DEPARTMENT OF SURGERY BOX # 90-29-928

    ST. LOUIS, MO 63100

    Phone: (314) 362-5000

    Type: Mailing

  • 1001 E SUPERIOR ST STE 201

    DULUTH, MN 558022228

    Phone: (218) 249-5555

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-06-29 • Largest payer in this snapshot: Axonics, Inc. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axonics, Inc.$30
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: 2023-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220913002805IUrologyMNTBD
I20230117000923IUrologyWITBD

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
99204New patient office or other outpatient visit, 45-59 minutes6767$0
99213Established patient office or other outpatient visit, 20-29 minutes5547$0
52000Diagnostic exam of bladder and urethra using an endoscope3431$0
99212Established patient office or other outpatient visit, 10-19 minutes3228$0
99214Established patient office or other outpatient visit, 30-39 minutes2523$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 7113834839View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Vascular SurgeryIL
Physician AssistantMN
Emergency MedicineMN
-MN
Emergency MedicineMN
-MN
Physician AssistantMN
Hematology/Oncology, Internal MedicineMN

Reviews

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Frequently asked questions

What is CARRIE RONSTROM (MD)'s NPI number?
CARRIE RONSTROM (MD)'s NPI is 1265952907 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to CARRIE RONSTROM (MD)?
You should see CARRIE RONSTROM (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for CARRIE RONSTROM (MD)?
At a glance, CARRIE RONSTROM (MD) is tied to Urology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CARRIE RONSTROM (MD)?
Travel planning: use Saint Louis, Missouri as the reference point for CARRIE RONSTROM (MD), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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