James T. Guille, M.D.
Orthopaedic Surgery Physician · Pottstown, PA
James T. Guille, M.D. is an orthopaedic surgery physician with a practice address in Pottstown, Pennsylvania, and NPI 1346218237, issued on Mar 8, 2006. Check the license (Pennsylvania MD069514L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- James T. Guille
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License numbers
- MD069514L PA
CL-0006605 DE
Self-reported in NPPES; status is on the state search - Practice location
- 1561 Medical Dr., Pottstown, PA 19464
- Phone
- (610) 792-9292
- Enumerated
- Mar 8, 2006
- Record last updated
- Jan 16, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (610) 792-9293
- Medicare enrollment
- Enrolled (PECOS I20040617000212); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 1,253 in Pennsylvania → Look up another NPI →
Also registered at 1561 Medical Dr.
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Linda D'Andrea, M.D.Orthopaedic Surgery Physician1831167477
Verify James T. Guille in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD069514LCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
24% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
263 Medicare Part D claims for 120 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 31 claims were for opioids.
Most prescribed
- Gabapentin62 claims
- Meloxicam35 claims
- Prednisone30 claims
- Diclofenac Sodium29 claims
- Cyclobenzaprine Hcl20 claims
- Tramadol Hcl14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 66 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 3 group practices
- Novacare Outpatient Rehabilitation East, Inc.Collegeville, PA
- Phoenix Rehabilitation And Health Services IncCranberry Twp, PA
- Premier Orthopaedic And Sports Medicine Associates, LtdExton, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James T. Guille among 1,253 orthopaedic surgery physician records in Pennsylvania
James T. Guille, M.D. is one of 1,253 orthopaedic surgery physician records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 21% of them.
- NPI issued2006 · 21% of these records are older, 48% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1996 · median 2003 among the 777 with a school on file
- Record last updated2014 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Pennsylvania
There are 1,253 orthopaedic surgery physician records in Pennsylvania.
All 1,253 in Pennsylvania → Every provider in Pottstown → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Linda D'Andrea, M.D.Pottstown, PA 194641831167477
- John Donahue, M.D.Pottstown, PA 194641053373068
- Glenn Lipton, M.D.Pottstown, PA 194641861431504
- Nikos Pavlides, MDPottstown, PA 194641891726006
- Scott Ritterman, M.D.Pottstown, PA 194641467770727
- Carl Deirmengian, MDLimerick, PA 194681205815503
- Frederic Liss, MDPhoenixville, PA 194601447256680
- Donald Mazur, M.D.Limerick, PA 194681477564276
Common questions
What is James T. Guille, M.D.'s NPI number?
James T. Guille, M.D.'s National Provider Identifier (NPI) is 1346218237, issued on Mar 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is James T. Guille, M.D. located?
The NPPES record lists a practice address at 1561 Medical Dr., Pottstown, PA, 19464. Phone: (610) 792-9292. Providers update this record themselves, so call before visiting.
How can I verify James T. Guille, M.D.'s license?
NPPES lists Pennsylvania license number MD069514L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James T. Guille, M.D. prescribe under Medicare Part D?
In 2024, James T. Guille, M.D. had 263 Medicare Part D claims for 120 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is James T. Guille, M.D.'s MIPS final score?
The 2023 MIPS final score is 66 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.