Kenneth Ralto, M.D.
NPI 1770877193 · Nephrology Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Ralto, M.D. is a Nephrology Physician provider in Worcester, MA (NPI 1770877193).
Provider details
- NPI number
- 1770877193
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 265176 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,006 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 236 | $79 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 136 | $120 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 113 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 101 | $132 |
| Dialysis Services, 2-3 Physician Visits Per Month (20 Years Or Older)90961 | 85 | $301 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Valsartan | 123 | 39 |
| Torsemide | 112 | 36 |
| Amlodipine Besylate | 100 | 36 |
| Lisinopril | 94 | 38 |
| Empagliflozinbrand: Jardiance | 74 | 22 |
| Furosemide | 65 | 18 |
| Fat Emulsion/Olive/Soy/Phosphobrand: Clinolipid | 52 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$114 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 157 Union StMarlborough, MA 01752-1228Phone: (508) 486-5435
- 85 Prescott StWorcester, MA 01605-2610Phone: (508) 856-3155
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2021-07-28
- Certified
- 2021-07-28
Frequently asked questions
- What is Kenneth Ralto's NPI number?
- Kenneth Ralto's National Provider Identifier (NPI) is 1770877193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Ralto's specialty?
- Kenneth Ralto is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Ralto located?
- Kenneth Ralto's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655.
- What is Kenneth Ralto's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Ralto is (508) 856-3155.
- Does Kenneth Ralto accept Medicare?
- Kenneth Ralto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Ralto's NPI active?
- Yes — Kenneth Ralto's NPI (1770877193) is active in the NPPES registry as of the last update on 2021-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.