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Theresa W. Guilbert, MD

NPI 1861466674ActiveIndividual· Pediatrics, Pediatric Pulmonology· Cincinnati, OH

Pediatrics, Pediatric Pulmonology (MD) in Cincinnati, Ohio, trained at University of Minnesota Medical School (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $28,781 for 27 claims, against $292.10 paid for services in 2024. Regeneron Pharmaceuticals, Inc. was the largest of 3 companies reporting payments in 2025, $21,654 in all, mostly consulting fees.

Overview

NPI1861466674
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedFeb 16, 2006
Last updated in NPPESApr 17, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics, Pediatric Pulmonology Primary2080P0214X35.122502OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pulmonary Disease (OH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients12
Services billed24 across 7 procedure codes
Paid by Medicare$292.10

Part D prescriptions in 2024

Prescriptions (claims)27 · 45 30-day fills
Total drug cost$28,781
Generic share44% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Minnesota Medical School
Graduation year1992
Medicare specialtyPulmonary Disease

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$21,654 · 8 payments from 3 companies
  • 2024$24,546 · 8 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Consulting Fee$21,646 · 7 payments
  • Food and Beverage$8.45 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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