MR. PETER ANTHONY GUILFOYLE PA-C
NPI 1427011568
Physician Assistant in Gorham, ME

Q: What is Peter Guilfoyle's NPI number?

The NPI number for Peter Guilfoyle is 1427011568. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Q: What is Peter Guilfoyle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Guilfoyle was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment

19 S GORHAM XING, GORHAM, ME 04038(207) 535-1400 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Peter Anthony Guilfoyle Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER ANTHONY GUILFOYLE PA-C (NPI 1427011568) is an individual physician assistant in Gorham, Maine, licensed in Maine (PA1400) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427011568

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. PETER ANTHONY GUILFOYLECredential: PA-C

Location Address19 S GORHAM XINGGorham, ME 04038-2690

Mailing Address655 Main StSaco, ME 04072-1699 · (207) 294-5600

Phone(207) 535-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 10, 2006

Last NPPES UpdateOctober 6, 2023

NPPES CertifiedOctober 6, 2023

✔ NPI 1427011568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in ME · PA1400✔ Licensed in VT · 055.0031165

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 104-0000105 (VT)

19 S GORHAM XING, Gorham, ME 04038

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mr. Peter Anthony Guilfoyle Pa-c 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.

PECOS PAC ID5597906057

PECOS Enrollment IDI20200508001501

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services89 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200008

Location144 State StreetPortland, ME 04101 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GORHAM CROSSING PRIMARY CARE

Clinic/Center (Primary Care)