Theresa W. Guilbert, MD
Pediatric Pulmonology Physician · Cincinnati, OH
Theresa W. Guilbert, MD is a pediatric pulmonology physician with a practice address in Cincinnati, Ohio, and NPI 1861466674, issued on Feb 16, 2006. Check the license (Ohio 35.122502, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.
- Name
- Theresa W. Guilbert
- Credential
- MD
- Primary taxonomy
- Pediatric Pulmonology Physician 2080P0214X
- License number
- 35.122502 OH
Self-reported in NPPES; status is on the state search - Practice location
- 3333 Burnet Ave, Cincinnati, OH 45229
- Phone
- (513) 803-0493
- Enumerated
- Feb 16, 2006
- Record last updated
- Apr 17, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (513) 636-4615
- Medicare enrollment
- Enrolled (PECOS I20140217000683); accepts Medicare assignment
- Medical or professional school
- University Of Minnesota Medical School, 1992
- Entity
- Type 1 · individual
8 nearest pediatric pulmonology physician records → All 106 in Ohio → Look up another NPI →
Also registered at 3333 Burnet Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mohamed Abdelaziz, MD, MSC, PHDPediatric Orthopaedic Surgery Physician1306521927
- Subhy Abo Rubeea, MDStudent in an Organized Health Care Education/Training Program1184077398
- Juan Abonia, M.D.Allergy & Immunology Physician1457300915
- Hideat AbrahaNurse Practitioner1801613237
- Martha Abramovich, APRN-CNPNurse Practitioner1558021022
- Maisam Abu-El-Haija, M.D.Pediatric Gastroenterology Physician1467660423
Verify Theresa W. Guilbert in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersState Medical Board of Ohio
Search for license 35.122502Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
77% fewer Medicare Part D claims than the average pediatric pulmonology physician in 2024
27 Medicare Part D claims, against an average of 119 among the 263 providers of this specialty who prescribed in Part D. Brand-name drugs were 56% of 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.
Industry payments in 2024: $12,350.25
5 payments; by number, the most common kind was consulting fee; the largest payer was AstraZeneca Pharmaceuticals LP. The 621 providers of this specialty with any payment received $1,494.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Children's Hospital Medical CenterCincinnati, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Theresa W. Guilbert among 106 pediatric pulmonology physician records in Ohio
Theresa W. Guilbert, MD is one of 106 pediatric pulmonology physician records with a practice address in Ohio. 71% 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 12% of them.
- NPI issued2006 · 12% of these records are older, 53% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated1992 · median 2006 among the 63 with a school on file
- Record last updated2015 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0214X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Pulmonology Physician providers in Ohio
There are 106 pediatric pulmonology physician records in Ohio.
All 106 in Ohio → Every provider in Cincinnati → Pediatric Pulmonology Physician nationwide →
The 8 pediatric pulmonology physician records with the nearest ZIP codes
- Raouf Amin, M.D.Cincinnati, OH 452291871513994
- Thomas Boat, M.D.Cincinnati, OH 452291184644791
- Ronald Bokulic, DOCincinnati, OH 452291851472088
- Barbara Chini, MDCincinnati, OH 452291114008349
- John Clancy, M.D.Cincinnati, OH 452291679586275
- Neepa Gurbani, D.O.Cincinnati, OH 452291205952306
- William Hardie, MDCincinnati, OH 452291518048743
- Karen McDowell, MDCincinnati, OH 452291033176912
Common questions
What is Theresa W. Guilbert, MD's NPI number?
Theresa W. Guilbert, MD's National Provider Identifier (NPI) is 1861466674, issued on Feb 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Theresa W. Guilbert, MD located?
The NPPES record lists a practice address at 3333 Burnet Ave, Cincinnati, OH, 45229. Phone: (513) 803-0493. Providers update this record themselves, so call before visiting.
How can I verify Theresa W. Guilbert, MD's license?
NPPES lists Ohio license number 35.122502, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Theresa W. Guilbert, MD prescribe under Medicare Part D?
In 2024, Theresa W. Guilbert, MD had 27 Medicare Part D claims; the average among pediatric pulmonology physician prescribers was 119. Part D covers Medicare prescriptions only.
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.