# Matthew Ballenberger, MD

Source: https://ourhealthnetwork.com/doctor/matthew-ballenberger-md-1497296685
NPI: 1497296685
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Matthew Ballenberger, MD is a pulmonary disease based in Providence, RI practicing at Rhode Island Hospital with NPI 1497296685 and offers telehealth visits.

## Profile

- Primary specialty: Pulmonary Disease
- Credential: MD
- Gender: Male
- Graduation year: 2017
- Telehealth: Yes
- NPI: 1497296685 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1497296685))

## Practice and contact

- Practice name: Rhode Island Hospital
- Address: 146 W River St, Suite 11a, Providence, RI, 029042609
- Phone: (401) 606-8250
- Group practice size: 402 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 91.25/100
- Quality category score: 74.92/100
- Promoting Interoperability score: 91.68/100
- Improvement Activities score: 40.00/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (8 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 11 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 6 plans
- [BCBS Rhode Island](https://ourhealthnetwork.com/insurance/bcbs-rhode-island) — 4 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 2 plans
- [Highmark BCBS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bcbs-pennsylvania) — 1 plan
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 1 plan

To verify a specific plan covers Matthew Ballenberger, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1497296685).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 4 disclosed payments from medical industry sources totaling approximately $339.

Largest disclosed payer: Inspire Medical Systems, Inc. ($188 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Pulmonary Disease doctors in PROVIDENCE, RI](https://ourhealthnetwork.com/pulmonary-disease/ri/providence)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1497296685)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)