JACOB J RISTOW MD
NPI 1285162883
Orthopaedic Surgery - Sports Medicine in Minneapolis, MN

NPI Status: Active since May 25, 2017

Contact Information

909 FULTON ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-8383

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  • Individual
  • Male
  • Years of Experience 9
  • Orthopaedic Surgery
  • Sports Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACOB RISTOW

This page provides the complete NPI Profile along with additional information for Jacob Ristow, a provider established in Minneapolis, Minnesota with a medical specialization in Orthopaedic Surgery, focusing in sports medicine and more than 9 years of experience. He graduated from Medical College Of Wisconsin in 2017. The healthcare provider is registered in the NPI registry with number 1285162883 assigned on May 2017. The practitioner's primary taxonomy code is 207XX0005X with license number 70941 (MN). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1285162883
Provider Name
JACOB J RISTOW MD
Gender
Male
Entity Type
Individual
Location Address
909 FULTON ST SE MINNEAPOLIS, MN 55455
Location Phone
(612) 273-8383
Mailing Address
2450 RIVERSIDE AVE STE R200 MINNEAPOLIS, MN 55454
Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
05-25-2017
Last Update Date
07-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
License No.
70941
License State
MN
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

70941 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jacob Ristow is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jacob Ristow is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981976669

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220721002071

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Hip replacement

A hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.

This service was performed for 1-10 patients

Knee replacement

A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.

This service was performed for 18 patients

Lower limb (leg) arthroscopy (minimally invasive joint repair)

Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.

This service was performed for 15 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 13 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jacob Ristow is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
M HEALTH FAIRVIEW RIDGES HOSPITAL201 EAST NICOLLET BOULEVARD
BURNSVILLE, MN 55337
(952) 892-2101Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285162883
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165264816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 6 + 4 + 8 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1285162883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003278961 KIMBERLY EHLERT PHARMD, RPH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)909 FULTON ST SE 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
(612) 672-5341
1396723243DR. WILLIAM E CONROY MD
Individual
Internal Medicine909 FULTON ST SE UNIVERSITY OF MN HEALTH CLINICS AND SURGERY CENTER
MINNEAPOLIS, MN 55455
(612) 273-8383
1285724708 SUSAN E KLINE MD
Individual
Internal Medicine (Infectious Disease)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1548455355 SHILPA GUPTA MD, MBBS
Individual
Internal Medicine (Hematology & Oncology)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1861724387DR. BENJAMIN R MILLER M.D.
Individual
Psychiatry & Neurology (Vascular Neurology)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 625-4195
1700238037DR. JENNIE LYNN HOOGHEEM NP-C
Individual
Nurse Practitioner (Family)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 624-9499
1356790273 KALLI ANN SHADES PA-C
Individual
Physician Assistant909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 273-9400
1407968084 DANA B COUSINS PAC
Individual
Physician Assistant909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1083973630 PARISA SALEHI M.D.
Individual
Physical Medicine & Rehabilitation909 FULTON ST SE MMC 2121CJ
MINNEAPOLIS, MN 55455
(612) 626-6688
1457794133 AMANDA MARIE HJELTNESS PA-C
Individual
Physician Assistant (Medical)909 FULTON ST SE UNIVERSITY OF MINNESOTA HEALTH CLINICS
MINNEAPOLIS, MN 55455
(612) 273-8383
1982999397DR. ASHLEY KERYN JOHNSON DNP, RN, ANP-C
Individual
Nurse Practitioner (Adult Health)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 676-5008
1740544527DR. AARON DANIEL CORFIELD D.P.M.
Individual
Podiatrist (Primary Podiatric Medicine)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 273-9400
1407048416 MICHAEL JAY LEFFLER-MCCABE MD
Individual
Psychiatry & Neurology (Clinical Neurophysiology)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1124162169 LAUREN ELIZABETH SCHROCK M.D.
Individual
Psychiatry & Neurology (Neurology)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1477780245 CHRISTOPHER JAMES TIGNANELLI MD
Individual
Surgery (Surgical Critical Care)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1598083081DR. ELIZABETH CATHERINE NEIL M.D.
Individual
Psychiatry & Neurology (Neurology)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 273-8383
1508155847 BRONWYN SOUTHWELL M.D.
Individual
Anesthesiology909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1588007116 STEPHANIE ERIN STANDAL M.D.
Individual
Physical Medicine & Rehabilitation909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1871572909 SALLY A MULLANY M.D.
Individual
Obstetrics & Gynecology (Gynecologic Oncology)909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422
1093858607 KAYSIE LYNN BANTON MD
Individual
Surgery909 FULTON ST SE
MINNEAPOLIS, MN 55455
(612) 672-7422

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285162883, enumerated in the NPI registry as an "individual" on May 25, 2017

The provider is located at 909 Fulton St Se Minneapolis, Mn 55455 and the phone number is (612) 273-8383

The provider's speciality is Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine

The provider has more than 9 years of experience. He graduated from Medical College Of Wisconsin in 2017.

The provider might be accepting Accepts: HealthPartners, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Hip replacement, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair) and Upper limb (arm) arthroscopy (minimally invasive joint repair).

The practitioner is affiliated to the following hospital(s): M HEALTH FAIRVIEW RIDGES HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 25, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.