Matthew Ballenberger, MD
NPI 1497296685ActiveIndividual· Internal Medicine, Pulmonary Disease· Riverside, RI
Internal Medicine, Pulmonary Disease (MD) with Lifespan Physician Group Inc and 3 other groups, practicing in Riverside, Rhode Island. In 2024 Medicare paid $18,678 for 88 patients, and Part D covered 86 of their prescriptions, 72% of them generic. Inspire Medical Systems, Inc. reported $365.75 in payments in 2025, mostly food and beverage. Lists Newport Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1497296685 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 20, 2017 |
| Last updated in NPPES | May 30, 2024 |
| Certified by provider | May 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | MD19716 | RI |
| Internal Medicine | 207R00000X | 73520 | CT |
| Internal Medicine, Critical Care Medicine | 207RC0200X | MD19716 | RI |
| Internal Medicine, Sleep Medicine | 207RS0012X | MD19716 | RI |
| Internal Medicine | 207R00000X | 306174 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NY); Practitioner - Pulmonary Disease (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 157 across 20 procedure codes |
| Paid by Medicare | $18,678 |
Part D prescriptions in 2024
| Prescriptions (claims) | 86 · 138 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $9,176 |
| Generic share | 72% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Telehealth | Offers telehealth |
Medical groups
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
- Rhode Island HospitalProvidence, RI · 437 clinicians
- Brown MedicineRiverside, RI · 217 clinicians
- The Miriam HospitalEast Greenwich, RI · 172 clinicians
Hospital affiliations
- Newport HospitalNewport, RI
- Rhode Island HospitalProvidence, RI
- The Miriam HospitalProvidence, RI
Other facilities
- Hopehealth Hospice & Palliative CareHospice · Providence, RI
Industry payments (Open Payments)
- 2025$365.75 · 3 payments from 1 company
- 2024$339.44 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Inspire Medical Systems, Inc. | $365.75 | 3 |
What the 2025 payments were for
- Food and Beverage$365.75 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Internal Medicine, Pulmonary Disease providers in Rhode Island →