NPPES file of Aug 9, 2026

Guillermo Jose Ballarino, M.D.

Pulmonary Disease Physician · Danbury, CT

Guillermo Jose Ballarino, M.D. is a pulmonary disease physician with a practice address in Danbury, Connecticut, and NPI 1386810802, issued on May 5, 2008. Check the license (Connecticut 050532, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1386810802
Name
Guillermo Jose Ballarino
Credential
M.D.
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
050532 CT
Self-reported in NPPES; status is on the state search
Practice location
24 Hospital Ave, Danbury, CT 06810
Phone
(203) 739-7070
Enumerated
May 5, 2008
Record last updated
Jul 11, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20120606000723); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 24 Hospital Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jacqueline AddonaStudent in an Organized Health Care Education/Training Program1669232443
  2. Fernando Afonso, M.D.Internal Medicine Physician1992980536
  3. Alka Aggarwal, MDInternal Medicine Physician1427041987
  4. Mohamed Ahmed, M.D.Internal Medicine Physician1235391756
  5. Syed Rakin Ahmed, MD, PHDStudent in an Organized Health Care Education/Training Program1518809870
  6. Gregory Albert, MDAnesthesiology Physician1588797930

Verify Guillermo Jose Ballarino in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersConnecticut Medical Examining Board
    Search for license 050532
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Connecticut license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

8% more Medicare Part D claims than the average pulmonary disease physician in 2024

1,546 Medicare Part D claims for 395 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 64% of claims.

  1. Guillermo Ballarino1,546
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta281 claims
  2. Anoro Ellipta206 claims
  3. Albuterol Sulfate Hfa144 claims
  4. Breo Ellipta135 claims
  5. Azithromycin87 claims
  6. Montelukast Sodium67 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 94.2 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score78.3
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,043.47

8 payments; by number, the most common kind was food and beverage; the largest payer was Medical Device Business Services, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Guillermo Ballarino$1,043.47
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Nuvance Health Medical Practice CT IncDanbury, CT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Pulmonary Disease Physician providers in Connecticut

There are 280 pulmonary disease physician records in Connecticut.

Other pulmonary disease physician records in Connecticut

  1. Olurotimi Adekolu, M.B.CH.BNew Haven, CT1073871372
  2. Amy Ahasic, MD, MPHNew Haven, CT1619073210
  3. Saul Ahola, MDDayville, CT1659431716
  4. Naser Adeeb Aljundi, MDNew London, CT1205320827
  5. Augustine Andoh-Duku, M.DDanbury, CT1992010565
  6. Saima Ansari, M.D.Vernon, CT1841309192
  7. Danielle Antin-Ozerkis, MDNew Haven, CT1336234947
  8. Mohammed Anwar, MDVernon, CT1669411104
  9. Ashish Arora, MDWaterbury, CT1255549622
  10. Joseph Bahgat, MDHartford, CT1356803050

Common questions

What is Guillermo Jose Ballarino, M.D.'s NPI number?

Guillermo Jose Ballarino, M.D.'s National Provider Identifier (NPI) is 1386810802, issued on May 5, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Guillermo Jose Ballarino, M.D. located?

The NPPES record lists a practice address at 24 Hospital Ave, Danbury, CT, 06810. Phone: (203) 739-7070. Providers update this record themselves, so call before visiting.

How can I verify Guillermo Jose Ballarino, M.D.'s license?

NPPES lists Connecticut license number 050532, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Guillermo Jose Ballarino, M.D. prescribe under Medicare Part D?

In 2024, Guillermo Jose Ballarino, M.D. had 1,546 Medicare Part D claims for 395 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Guillermo Jose Ballarino, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.