MATTHEW BALLENBERGER MD
NPI 1497296685
Internal Medicine - Pulmonary Disease in Riverside, RI
About Matthew Ballenberger Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW BALLENBERGER MD (NPI 1497296685) is an individual pulmonary disease provider in Riverside, Rhode Island, licensed in Rhode Island (MD19716) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Ballenberger Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rhode Island Hospital
Acute Care Hospitals · Providence, RIThe Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Ballenberger's NPI number?
The NPI number for Matthew Ballenberger is 1497296685. It was assigned to this individual provider in the NPPES registry on March 20, 2017.
Where is Matthew Ballenberger located?
Matthew Ballenberger practices at 375 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (401) 649-4070.
What is Matthew Ballenberger's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Matthew Ballenberger enrolled in Medicare?
Yes. Matthew Ballenberger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Matthew Ballenberger affiliated with any hospitals?
According to CMS data, Matthew Ballenberger is affiliated with Rhode Island Hospital and The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Ballenberger was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
