NPPES file of Aug 9, 2026

Samuel James Ballentine, MD

Anatomic Pathology & Clinical Pathology Physician · Wethersfield, CT

Samuel James Ballentine, MD is an anatomic pathology & clinical pathology physician with a practice address in Wethersfield, Connecticut, and NPI 1881038735, issued on Apr 22, 2013. Check the license 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 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881038735
Name
Samuel James Ballentine
Credential
MD
Primary taxonomy
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License number
2019024601 MO
Self-reported in NPPES; status is on the state search
Practice location
1290 Silas Deane Hwy Ste 101, Wethersfield, CT 06109
Phone
(860) 859-9061
Enumerated
Apr 22, 2013
Record last updated
Dec 29, 2025
Fax
(860) 889-6200
Medicaid ID
200071078 MO
Medicare enrollment
Enrolled (PECOS I20190829003428); accepts Medicare assignment
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.
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Also registered at 1290 Silas Deane Hwy Ste 101

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

  1. William Gesztes, MD, MSCAnatomic Pathology & Clinical Pathology Physician1477016582

Verify Samuel James Ballentine in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersConnecticut Medical Examining BoardCheck 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

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The practice group's MIPS final score for 2023 (Medicare payment program): 79.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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 score71.5
  2. Costout of 100 · 30%59.5
  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, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 3 group practices

  1. Connecticut GI PLLCWethersfield, CT
  2. Eastern Connecticut Pathology Consultants, PCWaterbury, CT
  3. Washington UniversitySaint Louis, MO

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

Samuel James Ballentine among 212 anatomic pathology & clinical pathology physician records in Connecticut

Samuel James Ballentine, MD is one of 212 anatomic pathology & clinical pathology physician records with a practice address in Connecticut. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 76% of them.

  • NPI issued2013 · 76% of these records are older, 21% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2013 · median 1999 among the 132 with a school on file
  • Record last updated2025 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Anatomic Pathology & Clinical Pathology Physician providers in Connecticut

There are 212 anatomic pathology & clinical pathology physician records in Connecticut.

The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes

  1. William Gesztes, MD, MSCWethersfield, CT 061091477016582
  2. Thomas Ciesielski, M.D.East Hartford, CT 061081972591477
  3. Joseph Digiuseppe, M.D.East Hartford, CT 061081104819382
  4. Mary Fiel-Gan, M.D.East Hartford, CT 061081710968961
  5. Mark Ludwig, M.D.East Hartford, CT 061081437130242
  6. Srinivas Mandavilli, M.D.East Hartford, CT 061081255312492
  7. Bela Mandavilli, M.D.East Hartford, CT 061081417948712
  8. Richard Muller, M.D.East Hartford, CT 061081629065271

Common questions

What is Samuel James Ballentine, MD's NPI number?

Samuel James Ballentine, MD's National Provider Identifier (NPI) is 1881038735, issued on Apr 22, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Samuel James Ballentine, MD located?

The NPPES record lists a practice address at 1290 Silas Deane Hwy Ste 101, Wethersfield, CT, 06109. Phone: (860) 859-9061. Providers update this record themselves, so call before visiting.

How can I verify Samuel James Ballentine, MD's license?

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.

What is Samuel James Ballentine, MD's MIPS final score?

The 2023 MIPS final score is 79.3 of 100, reported for the practice group. 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.