2026 NPPES data Anatomic Pathology & Clinical Pathology Physician NPI 1972594497 M.D.
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Enrique Ballesteros, M.D.

Anatomic Pathology & Clinical Pathology Physician in Farmington, Connecticut.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,692 in Anatomic Pathology & Clinical Pathology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
MIPS score
79.3/100
▼ 4 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Enrique Ballesteros, M.D. reported a CMS MIPS final score of 79.3/100 - below the 83.1 national average.

79.3/100
MIPS score · -4 vs avg
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Enrique Ballesteros, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic, not verified)

Enrique Ballesteros, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Enrique Ballesteros, M.D.?

Near national average

NPI registry status

Active

Issued 11/03/2005

NPI 1972594497

Primary specialty

Anatomic Pathology & Clinical Pathology Physician

Mid-sized

13,692 US NPIs in this specialty

MIPS final score

79.3/100 3.8 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Anatomic Pathology & Clinical Pathology Physician compares to other specialties among Connecticut providers

Connecticut providers
Clinical Social Worker - 8.4%Clinical Social Worker8.4%Student in an Organized Health Care Education/Training Program - 7.7%Student in an Organized Health Care Education/Training Program7.7%Physical Therapist - 4.2%Physical Therapist4.2%Pharmacist - 3.9%Pharmacist3.9%Internal Medicine Physician - 3.4%Internal Medicine Physician3.4%Mental Health Counselor - 3.2%Mental Health Counselor3.2%Anatomic Pathology & Clinical Pathology Physician - 0.2%Anatomic Pathology & Clinical Pathology Physician0.2%
Largest specialties in Connecticut (% of in-state providers)

Medicare quality performance, MIPS

Enrique Ballesteros, M.D.'s 2023 MIPS final score plotted against the Anatomic Pathology & Clinical Pathology Physician national average

Near national average
MIPS Final Score
79.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anatomic Pathology & Clinical Pathology Physician) - 79.3/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Anatomic Pathology & Clinical Pathology Physician) - 79.3/100 vs national avg 83.1
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Enrique Ballesteros, M.D. appears in the CMS NPPES registry as a Anatomic Pathology & Clinical Pathology Physician provider holding M.D. credentials at 263 FARMINGTON AVE, Farmington, CT, 06030, with a listed phone of (860) 679-2980. NPI 1972594497 was issued on 11/03/2005.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Anatomic Pathology & Clinical Pathology Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.3/100 for the 2023 performance year (Quality 69.2, Cost 48.1), compared with the national average of 83.1.

Anatomic Pathology & Clinical Pathology Physician is a mid-sized specialty nationwide, with 13,692 enrolled providers across 55 states and an average of 284 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

263 FARMINGTON AVE
Farmington, CT 06030

Provider Details

NPI 1972594497
Specialty Anatomic Pathology & Clinical Pathology Physician
Credentials M.D.
Gender Male
NPI Issued 11/03/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.3496
Final Score
Avg: 83.1
69.2231
Quality
48.0871
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Enrique Ballesteros, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

University OF Connecticut Health Center
Farmington, CT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Anatomic Pathology & Clinical Pathology Physician Overview

How Enrique Ballesteros, M.D. fits within the Anatomic Pathology & Clinical Pathology Physician landscape nationally.

13,692
Anatomic Pathology & Clinical Pathology Physician Providers in US
55
States with Anatomic Pathology & Clinical Pathology Physician
284
Avg Claims per Provider

Nearby Anatomic Pathology & Clinical Pathology Physician Providers in Connecticut

Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Ballesteros.

Compare Anatomic Pathology & Clinical Pathology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Connecticut medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Anatomic Pathology & Clinical Pathology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Enrique Ballesteros, M.D.'s specialty?
Enrique Ballesteros, M.D. specializes in Anatomic Pathology & Clinical Pathology Physician and practices in Farmington, Connecticut. Credentials: M.D..
What is Enrique Ballesteros, M.D.'s Medicare quality score?
Enrique Ballesteros, M.D. has a CMS MIPS Final Score of 79.3/100 (Quality: 69.2, Cost: 48.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Enrique Ballesteros, M.D. located?
Enrique Ballesteros, M.D. is located at 263 FARMINGTON AVE, Farmington, CT, 06030. Phone: (860) 679-2980.
What is Enrique Ballesteros, M.D.'s NPI number?
Enrique Ballesteros, M.D.'s National Provider Identifier (NPI) is 1972594497, issued on 11/03/2005.
How many Anatomic Pathology & Clinical Pathology Physician providers are there in the US?
There are 13,692 Anatomic Pathology & Clinical Pathology Physician providers across 55 states in the US. The average Anatomic Pathology & Clinical Pathology Physician provider writes 284 Medicare Part D claims per year.
Does Enrique Ballesteros, M.D. accept Medicare?
Enrique Ballesteros, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Enrique Ballesteros, M.D.'s credentials?
Enrique Ballesteros, M.D.'s NPI is 1972594497 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.