DR. JOHN WILLIAM GILBOY MD
NPI 1093210171
Internal Medicine - Pulmonary Disease in South Portland, ME
About Dr. John William Gilboy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WILLIAM GILBOY MD (NPI 1093210171) is an individual pulmonary disease provider in South Portland, Maine, licensed in Maine (MD28023) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains a secondary practice location in Farmington.
NPPES Registry Identity
Specialties & Licenses
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John William Gilboy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Health
Acute Care Hospitals · Portland, MEMaine Medical Center
Acute Care Hospitals · Portland, MECentral Maine Medical Center
Acute Care Hospitals · Lewiston, MEStephens Memorial Hospital
Critical Access Hospitals · Norway, MEMemorial Hospital, The
Critical Access Hospitals · North Conway, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Gilboy's NPI number?
The NPI number for John Gilboy is 1093210171. It was assigned to this individual provider in the NPPES registry on March 29, 2018.
Where is John Gilboy located?
John Gilboy practices at Chest Medicine Associates 100 Foden Road Suite 103, South Portland, ME 04106. The listed phone number is (207) 828-1122.
What is John Gilboy's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is John Gilboy enrolled in Medicare?
Yes. John Gilboy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does John Gilboy accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list John Gilboy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Gilboy affiliated with any hospitals?
According to CMS data, John Gilboy is affiliated with Northern Light Health, Maine Medical Center, Central Maine Medical Center, Stephens Memorial Hospital and Memorial Hospital, The.
When was this NPI record last updated?
The NPPES record for John Gilboy was last updated on January 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
