James Michael Guiler, MD
NPI 1104816388ActiveIndividual· Obstetrics & Gynecology· Lexington, KY
Obstetrics & Gynecology (MD) in Lexington, Kentucky, trained at University of Kentucky College of Medicine (class of 1976). Their prescriptions cost Medicare Part D more than their services did: $511,457 for 3,747 claims, against $44,324 paid for services in 2024. Sumitomo Pharma America, Inc. was the largest of 8 companies reporting payments in 2025, $271.42 in all, mostly food and beverage.
Overview
| NPI | 1104816388 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 27, 2005 |
| Last updated in NPPES | Nov 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | 19016 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 661 across 36 procedure codes |
| Paid by Medicare | $44,324 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,747 · 6,965 30-day fills |
|---|---|
| Patients | 535 |
| Total drug cost | $511,457 |
| Generic share | 80% of claims |
Education and affiliations
| Medical school | University of Kentucky College of Medicine |
|---|---|
| Graduation year | 1976 |
| Medicare specialty | Obstetrics/Gynecology |
Hospital affiliations
- Baptist Health LexingtonLexington, KY
- Clark Regional Medical CenterWinchester, KY
- Ephraim McDowell Regional Medical CenterDanville, KY
- Saint Joseph EastLexington, KY
Industry payments (Open Payments)
- 2025$271.42 · 15 payments from 8 companies
- 2024$412.37 · 18 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sumitomo Pharma America, Inc. | $123.46 | 5 |
| Millicent US Inc | $34.04 | 2 |
| Medtronic, Inc. | $29.52 | 1 |
| Exact Sciences Corporation | $28.49 | 2 |
| Hologic Sales and Service, LLC | $18.13 | 1 |
What the 2025 payments were for
- Food and Beverage$271.42 · 15 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other OB-GYNs in Lexington
- 1013907369
- 1023271681
- 1053352518
- 1073992681
- 1083824775
- 1104357813
- 1134507825
- 1174985931
- 1225422678
- 1255372033
- 1255697900
- 1376579359