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Dr. Matthew Ballenberger, MD
NPI1497296685PAC ID6507298882
- Medicare services, 2024
- 95
- Medicare patients, 2024
- 88
- Part D claims, 2024
- 86
- Publications
- 1
- Hospital affiliations
- 4
- Practice address
- 375 Wampanoag Trl, Riverside, RI 02915
- Practice phone
- Call (401) 649-4070
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Brown Medicine
Riverside, Rhode Island
Find Dr. Ballenberger's professional email, personal email and mobile number
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Dr. Matthew Ballenberger is a pulmonologist in Riverside, Rhode Island
Dr. Ballenberger practices at Brown Medicine in Riverside, Rhode Island.
Dr. Ballenberger's NPI, 1497296685, was assigned on March 20, 2017. Dr. Ballenberger holds Rhode Island license MD19716.
NPI and contact details
- NPI
- 1497296685NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6507298882
- NPI enumeration date
- March 20, 2017
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (401) 649-4070
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 35
- Medical school graduation
- 2017
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Matthew Ballenberger practices at Brown Medicine in Riverside, Rhode Island
Dr. Ballenberger's primary practice is Brown Medicine, at 375 Wampanoag Trl, Riverside, RI 02915 in Providence County. The practice phone is (401) 649-4070.
- Brown Medicine375 Wampanoag Trl, Riverside, RI 02915 · Providence CountyPhone(401) 649-4070
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Matthew Ballenberger is affiliated with 9 sites of care and 5 medical groups
Dr. Ballenberger's primary practice is Brown Medicine in Riverside, Rhode Island. Dr. Ballenberger is also affiliated with The Miriam Hospital. The medical group on file is Brown Medicine. Dmand AI also links Dr. Ballenberger to 3 more hospitals, 4 group practices and clinics and 4 medical groups, each named with a free account.
Brown MedicinePrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Matthew Ballenberger's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Ballenberger practices, 8 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Brown Medicine | Available with a free account |
| +8 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Matthew Ballenberger is one of 56 pulmonologists in Rhode Island
Pulmonary disease is Dr. Ballenberger's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dmand AI has Dr. Ballenberger's licenses on file in 3 states: Rhode Island, Connecticut and New York.
Specialties and state licenses
- Pulmonary disease, Rhode IslandPrimary
- Internal medicine, Connecticut
- New York license
Pulmonologists near Dr. Ballenberger
Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.
56pulmonologists in Rhode Island
9pulmonologists in Riverside
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Matthew Ballenberger billed Medicare for 95 services in 2024
CMS data shows 95 Medicare services from Dr. Ballenberger across 4 procedure codes in 2024, for 88 Medicare patients. Medicare paid $12,708 for them.
Medicare services, 202495
Medicare patients88
Paid by Medicare$12,708
Procedure codes4
Dr. Ballenberger's Medicare services by type, 2022 to 2024
- 2022
- 2024
- Office and hospital visits
- 2022: 682024: 9540%
Where Dr. Ballenberger's Medicare services took place, 2024
- In an office4143%
- In a facility5457%
Dr. Ballenberger compared with the Rhode Island median for pulmonologists, 2024
- Dr. Ballenberger
- Rhode Island median
- Medicare services
- 95vs 35673% below
- Medicare patients
- 88vs 18252% below
- Part D claims
- 11vs 75999% below
Medians across 57 pulmonologists in Rhode Island with Dmand AI profiles that report each measure.
Dr. Ballenberger's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Ballenberger?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Ballenberger and other pulmonologists in Rhode Island.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Matthew Ballenberger treated 88 Medicare patients in 2024, average age 75
CMS counts 88 Medicare patients who saw Dr. Ballenberger in 2024. The largest group is 75 to 84, with 40 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 17% are also on Medicaid. Their average risk score is 2.06, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Ballenberger's median patient age at 63, with 45% women.
Medicare patients, 202488
Average age75
Average risk score2.06
Also on Medicaid17%
Dr. Ballenberger's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Ballenberger's Medicare patients by sex, 2024
- Women4045%
- Men4855%
Chronic conditions among Dr. Ballenberger's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis56%
- Anxiety44%
- Mood disorders43%
- Diabetes40%
- Depression38%
- COPD36%
Share of Medicare patients with each condition. A patient can have several.
Dr. Ballenberger's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 63
Patient panel by sex, all payers
- Women45%
- Men54%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Matthew Ballenberger wrote 86 Medicare Part D claims in 2024
In 2024, Dr. Ballenberger wrote 86 Medicare Part D claims for 37 patients. 72% of them were for generic drugs. CMS names the drug for 11 of them, across 1 drug with 11 or more claims each, at $370 in total drug cost.
Part D claims, 202486
Drugs named by CMS1
Total drug cost$370
Part D patients37
Dr. Ballenberger's Part D claims by kind of drug, 2024
- Generic62 claims72%
- Brand-name24 claims28%
Dr. Ballenberger's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Matthew Ballenberger offers telehealth to Medicare patients
Dr. Ballenberger accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Ballenberger as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. Matthew Ballenberger has 1 publication on record
Dmand AI links 1 paper to Dr. Ballenberger. Dr. Ballenberger's most frequent co-authors are Madhuri Indaram, DO, Stephen C. Machnicki, MD and Bushra A. Mina, MD.
Papers1
Dr. Ballenberger's most frequent co-authors
- Madhuri Indaram, DO1 shared paper
- Stephen C. Machnicki, MD1 shared paper
- Bushra A. Mina, MD1 shared paper
Recent publications by Dr. Ballenberger
See who Dr. Ballenberger researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Ballenberger works with, so you can find a warm path to the right pulmonologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Matthew Ballenberger received $1,086 in industry payments from 2022 to 2025
CMS Open Payments shows 9 general payments to Dr. Ballenberger from 5 drug and device companies from 2022 to 2025. Food and beverage make up the largest share, 100% of the total. Inspire Medical Systems, Inc. paid the most, $554.
General payments to Dr. Ballenberger by program year, 2022 to 2025
Companies that paid Dr. Ballenberger the most, 2022 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Matthew Ballenberger's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Matthew Ballenberger
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Matthew Ballenberger's NPI number?
Dr. Matthew Ballenberger's NPI number is 1497296685. It was assigned on March 20, 2017, and it is active in the NPI Registry.
What kind of doctor is Dr. Matthew Ballenberger?
Dr. Matthew Ballenberger is a pulmonologist in Riverside, Rhode Island. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).
Where does Dr. Matthew Ballenberger practice?
Dr. Ballenberger practices at 375 Wampanoag Trl, Riverside, RI 02915. Dr. Ballenberger's primary practice is Brown Medicine in Riverside, Rhode Island. Dmand AI also links Dr. Ballenberger to 3 hospitals, 4 group practices and clinics and 4 medical groups.
What is Dr. Matthew Ballenberger's office phone number?
The practice phone on file for Dr. Ballenberger is (401) 649-4070.
What is Dr. Matthew Ballenberger's medical license number?
Dr. Ballenberger holds Rhode Island license MD19716, one of the licenses on file in 3 states.
Which states has Dr. Matthew Ballenberger been licensed in?
Dmand AI has state licenses on file for Dr. Ballenberger in Rhode Island, Connecticut and New York.
Which hospitals is Dr. Matthew Ballenberger affiliated with?
Dr. Ballenberger is affiliated with The Miriam Hospital. Dmand AI links Dr. Ballenberger to 3 more hospitals.
What medical group is Dr. Matthew Ballenberger part of?
Dr. Ballenberger is linked to Brown Medicine. Dmand AI links Dr. Ballenberger to 4 more medical groups.
Does Dr. Matthew Ballenberger accept Medicare?
Yes. CMS data shows Dr. Ballenberger billed Medicare for 95 services in 2024, and Dr. Ballenberger accepts Medicare assignment.
Does Dr. Matthew Ballenberger offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Ballenberger as offering telehealth services.
Show 7 more questionsShow fewer questions
How many Medicare patients does Dr. Matthew Ballenberger see?
CMS counts 88 Medicare patients who saw Dr. Ballenberger in 2024, with an average age of 75.
What services does Dr. Matthew Ballenberger bill to Medicare?
In 2024, Dr. Ballenberger's most billed Medicare services were critical care (99291), office visit, established patient (99214) and hospital inpatient care (99233).
What drugs does Dr. Matthew Ballenberger prescribe most?
In 2024 Medicare Part D data, Dr. Ballenberger's most prescribed drugs by claims were Albuterol Sulfate Hfa.
Has Dr. Matthew Ballenberger received payments from drug or device companies?
CMS Open Payments shows $1,086 in general payments to Dr. Ballenberger from 5 companies from 2022 to 2025. The largest total came from Inspire Medical Systems, Inc.
How long has Dr. Matthew Ballenberger been practicing?
Dr. Ballenberger graduated from medical school in 2017, 9 years ago.
Does Dr. Matthew Ballenberger do research?
Dmand AI links 1 publication to Dr. Ballenberger.
Who does Dr. Matthew Ballenberger publish with?
Dr. Ballenberger's most frequent co-authors are Madhuri Indaram, DO (1 shared paper), Stephen C. Machnicki, MD (1 shared paper) and Bushra A. Mina, MD (1 shared paper).
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