DR. ENRIQUE BALLESTEROS M.D.
NPI 1972594497
Pathology - Anatomic Pathology & Clinical Pathology in Farmington, CT

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2980(860) 679-4334 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Enrique Ballesteros M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ENRIQUE BALLESTEROS M.D. (NPI 1972594497) is an individual anatomic pathology & clinical pathology provider in Farmington, Connecticut, licensed in Connecticut (039969) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1972594497
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ENRIQUE BALLESTEROSCredential: M.D.
Location Address263 FARMINGTON AVEFarmington, CT 06030-3985
Mailing Address263 Farmington Ave, Provider EnrollmentFarmington, CT 06030-2212 · (860) 679-7503 · Fax (860) 679-1610
Fax(860) 679-4334
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 3, 2005
Last NPPES UpdateNovember 7, 2022
NPI 1972594497 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 CT · 039969
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.
263 FARMINGTON AVE, Farmington, CT 06030

Other Names 1

Former Name (1)Henry Ballesteros M.d.

Other Identifiers 1

Medicaid1972594497CT

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. Enrique Ballesteros M.d. 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 ID648281717
PECOS Enrollment IDI20060606000192
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 12

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.

Hemoglobin analysis and measurement, electrophoresis 83020
Hemoglobin analysis and measurement, electrophoresis, is a lab test that separates and identifies proteins in your blood. It's used to diagnose conditions affecting red blood cells. It's a simple, painless procedure where a small blood sample is taken and analyzed.
100 services23 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.
76 services15 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
64 services57 patients
Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
49 services42 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.
40 services15 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
39 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

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.

Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030

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 Enrique Ballesteros's NPI number?

The NPI number for Enrique Ballesteros is 1972594497. It was assigned to this individual provider in the NPPES registry on November 3, 2005. The provider is also known as Henry Ballesteros M.D..

Where is Enrique Ballesteros located?

Enrique Ballesteros practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2980.

What is Enrique Ballesteros's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Enrique Ballesteros enrolled in Medicare?

Yes. Enrique Ballesteros 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.

When was this NPI record last updated?

The NPPES record for Enrique Ballesteros was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.