MARK DOUGLAS RAVENSCRAFT (MD) – Nephrology Physician, NPI 1669571238

MARK DOUGLAS RAVENSCRAFT (MD) is a healthcare provider. based in Town and country, Missouri. specializing in Nephrology Physician. They hold the professional credentials MD. They hold a License No. R4F85 (MO). The NPI Number for MARK DOUGLAS RAVENSCRAFT (MD) is 1669571238

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
MARK DOUGLAS RAVENSCRAFT (MD)
NPI
1669571238
Phone
(314) 439-5113
Address
1753 STIFEL LANE DR
Enumeration Date
21 September 2006
Last Update Date
1 October 2023

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3142516344
Graduation Year
1983 (43 years ago)
PAC ID
9234029455
Group Practice PAC ID
8921327115
Professional Enrollment ID
I20100803001275
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MARK DOUGLAS RAVENSCRAFT (MD)

  • 1753 STIFEL LANE DR

    TOWN AND COUNTRY, MO 630178048

    Phone: (314) 439-5113

    Type: Mailing

  • 621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SUITE 3015B

    ST LOUIS, MO 631418244

    Phone: (314) 251-6344

    Fax: (314) 251-7929

    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: 2010-08-03

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
I20100803001275INephrologyMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7329$0
90935Hemodialysis procedure with physician evaluation3514$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3415$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1918$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 63017)

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Provider's Procedures

MARK DOUGLAS RAVENSCRAFT (MD) performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMO90935Hemodialysis procedure with one physician evaluation21693

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: 8921327115View full group profile
NameSpecialtyState
Nurse PractitionerMO
N E P H R O L O G YCT
Nurse PractitionerMO
-MO
N E P H R O L O G YNY
Nephrology, Internal MedicineMO
Physician AssistantIL
N E P H R O L O G YMO
N E P H R O L O G YMO
N E P H R O L O G YMO

Reviews

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Frequently asked questions

Can I cross-check MARK DOUGLAS RAVENSCRAFT (MD) using NPI 1669571238?
NPI 1669571238 belongs to MARK DOUGLAS RAVENSCRAFT (MD); compare other details if you need extra assurance.
Would MARK DOUGLAS RAVENSCRAFT (MD) appear as active to a payer?
You can treat MARK DOUGLAS RAVENSCRAFT (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARK DOUGLAS RAVENSCRAFT (MD)?
At a glance, MARK DOUGLAS RAVENSCRAFT (MD) is tied to Nephrology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK DOUGLAS RAVENSCRAFT (MD)?
Travel planning: use Town And Country, Missouri as the reference point for MARK DOUGLAS RAVENSCRAFT (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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