DR. SAMANTHA MAXINE RALSTIN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1679033062
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 PODIATRY in NV
Provider Addresses for DR. SAMANTHA MAXINE RALSTIN (DPM)
973 Mica Dr Ste 201
Carson City, NV 897057258
Phone: (775) 783-6190
Fax: (775) 348-8818
Type: Location
10539 Professional Cir Ste 201
Reno, NV 895213858
Phone: (775) 783-6190
Fax: (775) 348-8818
Type: Location
John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761044941
Phone:
Type: Mailing
4700 MCKINNEY AVE APT 445
DALLAS, TX 752053560
Phone: (805) 240-6655
Fax: (214) 550-2099
Type: Mailing
1320 N GALLOWAY AVE STE 105
MESQUITE, TX 751492461
Phone: (214) 550-2099
Type: Location
5310 KIETZKE LN STE 104
RENO, NV 895112043
Phone: (775) 348-8800
Fax: (775) 348-8818
Type: Mailing
973 MICA DR STE 201
CARSON CITY, NV 897057258
Phone: (775) 783-6190
Fax: (775) 348-8818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $589.
Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Evolution Surgical, Inc ($243).
Total Amount
$589
General + Research + Ownership
Payments
11
Total payment records
General Amount
$589
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Evolution Surgical, Inc | $243 |
| Organogenesis Inc. | $163 |
| Integra LifeSciences Corporation | $71 |
| TriMed, Inc. | $31 |
| Bioventus LLC | $30 |
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: 2024-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220721003648 | I | Podiatry | NV | TBD |
| I20240817000649 | I | Podiatry | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 107 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 60 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 58 | 58 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 48 | 11 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 46 | 25 | $0 |
Insurance plans in this area (ZIP 89705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MI |
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