NPPES file of Aug 9, 2026

Matthew P. Guilbeault, PA-C

Surgical Physician Assistant · Portland, ME

Matthew P. Guilbeault, PA-C is a surgical physician assistant with a practice address in Portland, Maine, and NPI 1306956974, issued on Aug 30, 2006. Check the license (Maine PA001078, as entered in NPPES) with the Maine board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306956974
Name
Matthew P. Guilbeault
Credential
PA-C
Primary taxonomy
Surgical Physician Assistant 363AS0400X
License number
PA001078 ME
Self-reported in NPPES; status is on the state search
Practice location
1601 Congress St, Portland, ME 04102
Phone
(207) 774-5113
Enumerated
Aug 30, 2006
Record last updated
Mar 7, 2023
Fax
(207) 874-0320
Medicare enrollment
Enrolled (PECOS I20070122000588); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1601 Congress St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rosie Ankhartz, SLPSpeech-Language Pathologist1013694629
  2. Thomas Bander, MDMOHS-Micrographic Surgery Physician1962821769
  3. Kimberly Breglio, MDMOHS-Micrographic Surgery Physician1225591860
  4. Malcolm Creighton-Smith, MDDermatology Physician1881041556
  5. Abigail DohertyPhysical Therapist1487487997
  6. Rachel Dunlap, MDDermatology Physician1043741515

Verify Matthew P. Guilbeault in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Maine board licenses this profession
    Search for license PA001078
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Maine license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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66% fewer Medicare Part D claims than the average surgical physician assistant in 2024

102 Medicare Part D claims for 74 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. 81 claims were for opioids.

  1. Matthew Guilbeault102
  2. Specialty average304

Most prescribed

  1. Oxycodone Hcl65 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): 98.1 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.

  1. Qualityout of 100 · 30% of the final score86.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $138.72

2 payments; by number, the most common kind was food and beverage; the largest payer was Zimmer Biomet Holdings, Inc. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Matthew Guilbeault$138.72
  2. Specialty average$703.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. MainehealthPortland, ME

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Matthew P. Guilbeault among 205 surgical physician assistant records in Maine

Matthew P. Guilbeault, PA-C is one of 205 surgical physician assistant records with a practice address in Maine. 91% 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 4% of them.

  • NPI issued2006 · 4% of these records are older, 70% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 83% of these records are
  • Graduated2003 · median 2013 among the 170 with a school on file
  • Record last updated2023 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Maine practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

67 surgical physician assistant records list a practice address in Portland

They are 67 of the 6,022 NPPES records with a practice address in Portland, and 205 surgical physician assistant records in Maine.

The 8 surgical physician assistant records with the nearest ZIP codes

  1. Lawrence Adrian, P.A.-CPortland, ME 041021891707493
  2. Scott Benevides, PA-CPortland, ME 041021548256035
  3. Peter Donovan, PA-CPortland, ME 041021366549438
  4. Denise Emple, PA-CPortland, ME 041021437145067
  5. Jeffery Fox, P.A.Portland, ME 041021396707873
  6. Brian Halla, PA-CPortland, ME 041021528053931
  7. Nathan Haynes, PA-CPortland, ME 041021598755258
  8. Chris Hillman, PA-CPortland, ME 041021497741961

Common questions

What is Matthew P. Guilbeault, PA-C's NPI number?

Matthew P. Guilbeault, PA-C's National Provider Identifier (NPI) is 1306956974, issued on Aug 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Matthew P. Guilbeault, PA-C located?

The NPPES record lists a practice address at 1601 Congress St, Portland, ME, 04102. Phone: (207) 774-5113. Providers update this record themselves, so call before visiting.

How can I verify Matthew P. Guilbeault, PA-C's license?

NPPES lists Maine license number PA001078, as entered by the provider. Search the Maine board that licenses this profession; the NPPES record confirms identity only.

How much does Matthew P. Guilbeault, PA-C prescribe under Medicare Part D?

In 2024, Matthew P. Guilbeault, PA-C had 102 Medicare Part D claims for 74 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.

What is Matthew P. Guilbeault, PA-C's MIPS final score?

The 2023 MIPS final score is 98.1 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.