Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Ralston, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1568091189

Grant Ralston, MD is a Sports Medicine in Springfield, Missouri. Qualified in 2019, 7 years ago. Practices with Lester E Cox Medical Centers, a 249-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3555 S National Ave
Springfield, MO 65807-7310
Phone: (000) 000-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 W. Van Asche Drive, Fayetteville, AR 72703 — (479) 521-0263

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 2024017175 (MO)

Record details

NPI number1568091189
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing addressPo Box 505673, Saint Louis, MO 63150-5673

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lester E Cox Medical Centers — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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