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DR. SAMUEL JAMES BALLENTINE MD
NPI 1881038735
Pathology - Anatomic Pathology & Clinical Pathology in Wethersfield, CT

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1290 SILAS DEANE HWY STE 101, WETHERSFIELD, CT 06109(860) 859-9061(860) 889-6200 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2025, Apr 25, 2024, Apr 10, 2024 and 3 more (6 updates tracked since 2019).

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, is affiliated with Memorial Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1881038735
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. SAMUEL JAMES BALLENTINECredential: MD
Location Address1290 SILAS DEANE HWY STE 101Wethersfield, CT 06109-4337
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-5641 · Fax (314) 362-8950
Phone(860) 859-9061
Fax(860) 889-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 22, 2013
Last NPPES UpdateDecember 29, 20256 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1881038735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MO · 2019024601
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1290 SILAS DEANE HWY STE 101, Wethersfield, CT 06109
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Secondary Practice Location 1

Location 11 Barnes Jewish Hospital Plz, Div PA Anatomic and Molecular PathSaint Louis, MO 63110-1003 · Phone (314) 362-5641 · Fax (314) 362-8950

Other Identifiers 1

Medicaid200071078MO

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

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.

PECOS PAC ID8426392044
PECOS Enrollment IDI20190829003428, I20251016001933
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
906 services416 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
218 services55 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
130 services24 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
106 services85 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
106 services98 patients
Pathology examination of tissue using a microscope, high complexity 88309
A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
37 services35 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

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.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM ROBERT GESZTES MD, MSC
Pathology (Anatomic Pathology & Clinical Pathology)
1290 SILAS DEANE HWY STE 101
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 859-9061

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.

Is Samuel Ballentine affiliated with any hospitals?

According to CMS data, Samuel Ballentine is affiliated with Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Ballentine was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.