William A. Boller III, M.D.
NPI 1972730380ActiveIndividual· Emergency Medicine· Groton, CT
Emergency Medicine (M.D.) with Charles A Dean Memorial Hospital, practicing in Groton, Connecticut. 34 Medicare patients in 2024, $4,306 paid; nearly all of their 173 Part D prescriptions were generic (91%). Lists Northern Light C A Dean Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1972730380 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 12, 2009 |
| Last updated in NPPES | Apr 25, 2024 |
| Certified by provider | Apr 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD24366 | ME |
| Family Medicine | 207Q00000X | 0101250100 | VA |
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 - Family Practice (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 60 across 20 procedure codes |
| Paid by Medicare | $4,306 |
Part D prescriptions in 2024
| Prescriptions (claims) | 173 · 189 30-day fills |
|---|---|
| Patients | 91 |
| Total drug cost | $4,048 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Charles A Dean Memorial HospitalSangerville, ME · 23 clinicians
Hospital affiliations
- Northern Light C A Dean HospitalGreenville, ME
- Northern Light Mayo HospitalDover Foxcroft, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other emergency medicine physicians in Groton
- 1588841068
- 1891927455