John William Gilboy, MD
NPI 1093210171ActiveIndividual· Internal Medicine, Pulmonary Disease· South Portland, ME
Internal Medicine, Pulmonary Disease (MD) in South Portland, Maine, trained at Tufts University School of Medicine (class of 2018). Their prescriptions cost Medicare Part D more than their services did: $63,636 for 161 claims, against $18,589 paid for services in 2024.
Overview
| NPI | 1093210171 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 29, 2018 |
| Last updated in NPPES | Jan 7, 2025 |
| Certified by provider | Jan 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | MD28023 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 201 across 23 procedure codes |
| Paid by Medicare | $18,589 |
Part D prescriptions in 2024
| Prescriptions (claims) | 161 · 176 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $63,636 |
| Generic share | 35% of claims |
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | Critical Care (Intensivists), Pulmonary Disease |
Medical groups
- Mercy HospitalPortland, ME · 301 clinicians
- Chest Medicine Associates PASouth Portland, ME · 30 clinicians
Hospital affiliations
- Central Maine Medical CenterLewiston, ME
- Mainehealth Maine Medical CenterPortland, ME
- Mainehealth Stephens HospitalNorway, ME
- Memorial Hospital, theNorth Conway, NH
- Northern Light Mercy HospitalPortland, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 pulmonologists in South Portland · All pulmonologists in Maine