DR. SAMUEL JAMES BALLENTINE MD
NPI 1881038735
Pathology - Anatomic Pathology & Clinical Pathology in Wethersfield, CT
About Dr. Samuel James Ballentine Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL JAMES BALLENTINE MD (NPI 1881038735) is an individual anatomic pathology & clinical pathology provider in Wethersfield, Connecticut, licensed in Missouri (2019024601) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Samuel James Ballentine 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.
Medicare Billing Reassignments
4Medicare enrollment records show Samuel Ballentine reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 417 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 21 clinicians in this Medicare group
Shiloh, IL 62269
- Reassigned Medicare billing, Illinois enrollment
- 530 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06109 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WETHERSFIELD, CT 06109
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 Samuel Ballentine's NPI number?
The NPI number for Samuel Ballentine is 1881038735. It was assigned to this individual provider in the NPPES registry on April 22, 2013.
Where is Samuel Ballentine located?
Samuel Ballentine practices at 1290 Silas Deane Hwy Ste 101, Wethersfield, CT 06109. The listed phone number is (860) 859-9061.
What is Samuel Ballentine's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Samuel Ballentine enrolled in Medicare?
Yes. Samuel Ballentine 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.
Which organizations bill Medicare for Samuel Ballentine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ballentine reassigns Medicare benefits to 4 organizations: Connecticut Gi PLLC (Hartford, CT), Eastern Connecticut Pathology Consultants, PC (Manchester, CT), Washington University Physicians In Illinois, Inc (Shiloh, IL) and Washington University (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Ballentine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Ballentine was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Samuel James Ballentine, MD · NPI 1881038735
Anatomic Pathology & Clinical Pathology physician in Wethersfield, Connecticut. Individual provider, active in the CMS NPPES registry since April 22, 2013.
## Identity
- **NPI:** 1881038735 (Entity type: Individual)
- **Enumerated:** April 22, 2013
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 2019024601 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1290 SILAS DEANE HWY STE 101, Wethersfield, CT 06109-4337
- **Phone:** (860) 859-9061 · **Fax:** (860) 889-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Connecticut Gi PLLC (NPI 1023124625, Hartford, CT); Eastern Connecticut Pathology Consultants, PC (NPI 1558326991, Manchester, CT); Washington University Physicians In Illinois, Inc (NPI 1265029508, Shiloh, IL); Washington University (NPI 1316987746, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 29, 2025
- **Other identifiers:** Medicaid 200071078 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1881038735) · Data from the CMS NPPES public registry.