Adam M. Ralko, MD
NPI 1265751119ActiveIndividual· Internal Medicine· Des Peres, MO
Internal Medicine (MD) in Des Peres, Missouri, trained at Washington University School of Medicine (class of 2010). Their prescriptions cost Medicare Part D more than their services did: $950,174 for 9,984 claims, against $151,972 paid for services in 2024. Abbvie Inc. was the largest of 3 companies reporting payments in 2025, $106.38 in all, mostly food and beverage.
Overview
| NPI | 1265751119 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 18, 2010 |
| Last updated in NPPES | Jan 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2013027441 | MO |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301096219 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 400 |
|---|---|
| Services billed | 1,869 across 37 procedure codes |
| Paid by Medicare | $151,972 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,984 · 24,093 30-day fills |
|---|---|
| Patients | 791 |
| Total drug cost | $950,174 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Mercy Clinic East CommunitiesSaint Louis, MO · 571 clinicians
- Aging Well Health Care, LLCSaint Louis, MO · 238 clinicians
- Physical Therapy Spine and Sports Medicine LLCBallwin, MO · 129 clinicians
Hospital affiliations
- Barnes Jewish HospitalSaint Louis, MO
- Mercy Hospital SouthSaint Louis, MO
- Mercy Hospital St LouisSaint Louis, MO
- Missouri Baptist Medical CenterSaint Louis, MO
- Ssm Health St Mary's Hospital - St LouisSaint Louis, MO
Other facilities
- Mercy Home HealthHome health agency · Saint Louis, MO
- Fv HospiceHospice · St Louis, MO
- Mercy HospiceHospice · Saint Louis, MO
- Ssm Health Rehabilitation HospitalInpatient rehabilitation facility · Richmond Heights, MO
Industry payments (Open Payments)
- 2025$106.38 · 5 payments from 3 companies
- 2024$62.81 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $44.07 | 2 |
| Glaxosmithkline, LLC. | $39.40 | 2 |
| Abbott Laboratories | $22.91 | 1 |
What the 2025 payments were for
- Food and Beverage$106.38 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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