JOHN J GULLO MD
NPI 1700865243
Internal Medicine - Medical Oncology in Brunswick, ME

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
329 MAINE ST STE E101, BRUNSWICK, ME 04011(207) 373-2266(207) 910-4413 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, Mar 20, 2025, Dec 11, 2017 (3 updates tracked since 2017).

About John J Gullo Md NPPES

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

JOHN J GULLO MD (NPI 1700865243) is an individual medical oncology provider in Brunswick, Maine, licensed in Maine (MD21675) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1700865243
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameJOHN J GULLOCredential: MD
Location Address329 MAINE ST STE E101Brunswick, ME 04011-3310
Mailing Address329 Maine St Ste E101Brunswick, ME 04011-3310 · (207) 373-2266 · Fax (207) 910-4413
Fax(207) 910-4413
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1972
Enumeration DateJanuary 12, 2006
Last NPPES UpdateApril 8, 20253 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1700865243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in ME · MD21675
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD21675 (ME)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License MD21675 (ME)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 137981-1 (NY)
329 MAINE ST STE E101, Brunswick, ME 04011

Secondary Practice Locations 4

Location 15008 Brittonfield Pkwy, Suite 700East Syracuse, NY 13057-9248 · Phone (315) 472-7504 · Fax (315) 479-8639
Location 2116 Northport Ave Ste 112Belfast, ME 04915-6096 · Phone (207) 505-4163 · Fax (207) 613-2570
Location 3159 Main StNorway, ME 04268-5638 · Phone (207) 743-2945 · Fax (207) 743-2751
Location 4265 Western Ave Ste 2South Portland, ME 04106-2458 · Phone (207) 661-0200 · Fax (207) 661-0299

Other Identifiers 1

Medicaid00602671NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John J Gullo 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.

PECOS PAC ID345141479
PECOS Enrollment IDI20171120002555
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.

Medicare Billing Reassignments

5

Medicare enrollment records show John Gullo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
123 MEDICAL CENTER DR
Brunswick, ME 04011
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1346299815 (Maine), NPI 1841397932 (Maine)
  • 3,140 clinicians in this Medicare group
Orthopaedic Surgery
5 BUCKNAM RD, SUITE 1D
Falmouth, ME 04105
  • Reassigned Medicare billing, Maine enrollment
  • 264 clinicians in this Medicare group
General Acute Care Hospital
93 CAMPUS AVE
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: St Marys Regional Medical Center
  • 381 clinicians in this Medicare group
General Acute Care Hospital
12 UNION ST
Rockland, ME 04841
  • Reassigned Medicare billing, Maine enrollment
  • 59 clinicians in this Medicare group
Critical Access
118 NORTHPORT AVE
Belfast, ME 04915
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Waldo County General Hospital
  • 82 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
175 services77 patients
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.
73 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims962 services$0.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Hematology & Oncology)
329 MAINE ST STE E101
BRUNSWICK, ME 04011
Physician Assistant
329 MAINE ST STE E101
BRUNSWICK, ME 04011
Obstetrics & Gynecology (Gynecologic Oncology)
329 MAINE ST STE E101
BRUNSWICK, ME 04011
Internal Medicine (Hematology & Oncology)
329 MAINE ST STE E101
BRUNSWICK, ME 04011
Internal Medicine (Hematology & Oncology)
329 MAINE ST STE E101
BRUNSWICK, ME 04011

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 Gullo's NPI number?

The NPI number for John Gullo is 1700865243. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is John Gullo located?

John Gullo practices at 329 Maine St Ste E101, Brunswick, ME 04011. The listed phone number is (207) 373-2266.

What is John Gullo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is John Gullo enrolled in Medicare?

Yes. John Gullo 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.

Which organizations bill Medicare for John Gullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Gullo reassigns Medicare benefits to 5 organizations: Mainehealth (Brunswick, ME), Maine Medical Partners (Falmouth, ME), St. Mary's Regional Medical Center (Lewiston, ME), Penobscot Bay Medical Center (Rockland, ME) and Mainehealth (Belfast, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Gullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Gullo accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list John Gullo 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 Gullo affiliated with any hospitals?

According to CMS data, John Gullo is affiliated with Maine Medical Center, Mid Coast Hospital, Lincolnhealth and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Gullo was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.