Daniel Lawrence Shpilsky, M.D.
NPI 1184011827ActiveIndividual· Internal Medicine, Cardiovascular Disease· Scarborough, ME
Internal Medicine, Cardiovascular Disease (M.D.) with Mainehealth and 1 other group, practicing in Scarborough, Maine. Their prescriptions cost Medicare Part D more than their services did: $221,433 for 765 claims, against $75,962 paid for services in 2024. Ge Healthcare reported $66.66 in payments in 2024, mostly food and beverage. Lists Maine General Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1184011827 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 21, 2015 |
| Last updated in NPPES | Dec 6, 2023 |
| Certified by provider | Dec 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | MD27073 | ME |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 24141 | NH |
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 - Cardiovascular Disease (Cardiology) (ME); Practitioner - Cardiovascular Disease (Cardiology) (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,031 |
|---|---|
| Services billed | 2,088 across 40 procedure codes |
| Paid by Medicare | $75,962 |
Part D prescriptions in 2024
| Prescriptions (claims) | 765 · 1,872 30-day fills |
|---|---|
| Patients | 200 |
| Total drug cost | $221,433 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- MainehealthPortland, ME · 2,633 clinicians
- St Marys Regional Medical CenterLewiston, ME · 198 clinicians
Hospital affiliations
- Maine General Medical CenterAugusta, ME
- Mainehealth Maine Medical CenterPortland, ME
- Mainehealth Pen Bay HospitalRockport, ME
- Mainehealth Stephens HospitalNorway, ME
- Memorial Hospital, theNorth Conway, NH
Industry payments (Open Payments)
- 2024$66.66 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ge Healthcare | $66.66 | 2 |
What the 2024 payments were for
- Food and Beverage$66.66 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 38 cardiologists in Scarborough · All cardiologists in Maine