2026 NPPES data Anatomic Pathology & Clinical Pathology Physician NPI 1881038735 MD
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SAMUEL BALLENTINE, MD

Anatomic Pathology & Clinical Pathology Physician in WETHERSFIELD, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: SAMUEL BALLENTINE, MD is a Anatomic Pathology & Clinical Pathology Physician ([object Object]) practicing in WETHERSFIELD, Connecticut . Their CMS MIPS Final Score of 79.292/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SAMUEL BALLENTINE, MD reported a CMS MIPS final score of 79.292 out of 100, below the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SAMUEL BALLENTINE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SAMUEL BALLENTINE, MD at a glance

Near national average

NPI registry status

Active

Issued 04/22/2013

NPI 1881038735

Primary specialty

Anatomic Pathology & Clinical Pathology Physician

Mid-sized

13,692 US NPIs in this specialty

MIPS final score

79.292/100 3.8079999999999927% pts

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

Anatomic Pathology & Clinical Pathology Physician share within Connecticut

1. Anatomic Pathology & Clinical Pathology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anatomic Pathology & Clinical Pathology Physician share within Connecticut

Medicare quality performance — MIPS

SAMUEL BALLENTINE, MD's 2023 MIPS final score plotted against the Anatomic Pathology & Clinical Pathology Physician national average

Near national average
MIPS Final Score
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anatomic Pathology & Clinical Pathology Physician) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Anatomic Pathology & Clinical Pathology Physician) — 79.292/100 vs national avg 83.1

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).

SAMUEL BALLENTINE, MD is a Anatomic Pathology & Clinical Pathology Physician provider practicing in WETHERSFIELD, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1881038735. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SAMUEL BALLENTINE, MD appears in the CMS NPPES registry as a Anatomic Pathology & Clinical Pathology Physician provider holding MD credentials at 1290 SILAS DEANE HWY STE 101, WETHERSFIELD, CT, 06109, with a listed phone of (860) 859-9061. NPI 1881038735 was issued on 04/22/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLENTINE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

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 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), 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

1290 SILAS DEANE HWY STE 101
WETHERSFIELD, CT 06109

Provider Details

NPI 1881038735
Specialty Anatomic Pathology & Clinical Pathology Physician
Credentials MD
Gender Male
NPI Issued 04/22/2013

CMS Quality Score (MIPS)

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

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SAMUEL BALLENTINE, MD 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.

CONNECTICUT GI PLLC
WETHERSFIELD, CT
EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, PC
WATERBURY, CT
WASHINGTON UNIVERSITY
SAINT LOUIS, MO

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 SAMUEL BALLENTINE, MD 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 BALLENTINE.

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

Frequently Asked Questions

What is SAMUEL BALLENTINE, MD's specialty?
SAMUEL BALLENTINE, MD specializes in Anatomic Pathology & Clinical Pathology Physician and practices in WETHERSFIELD, Connecticut. Credentials: MD.
What is SAMUEL BALLENTINE, MD's Medicare quality score?
SAMUEL BALLENTINE, MD has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAMUEL BALLENTINE, MD located?
SAMUEL BALLENTINE, MD is located at 1290 SILAS DEANE HWY STE 101, WETHERSFIELD, CT, 06109. Phone: (860) 859-9061.
What is SAMUEL BALLENTINE, MD's NPI number?
SAMUEL BALLENTINE, MD's National Provider Identifier (NPI) is 1881038735, issued on 04/22/2013.
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 SAMUEL BALLENTINE, MD accept Medicare?
SAMUEL BALLENTINE, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAMUEL BALLENTINE, MD's credentials?
SAMUEL BALLENTINE, MD's NPI is 1881038735 with credentials MD. 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

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