Doctor profile · Federal record
Dr. Carl Guillaume, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Bronx, NY
- NPI 1528098118
- Accepts Medicare
- 34 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4422 3Rd Ave
Bronx, NY 104572545
(718) 960-6205
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New York #210261
- Medicaid
- NY #01947988
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528098118. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
148
Distinct HCPCS
6
Medicare allowed
$24,416
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99305 |
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 51 | 48 | $149 | |
43762 |
Replacement of stomach stoma tube | 24 | 19 | $270 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 23 | 16 | $84 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $194 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 19 | 15 | $148 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 11 | 11 | $155 |
In context: peer comparison
Among 33 peers in this city , average services per provider: 33. This provider delivers 4.5× the peer median.Open Payments
Industry payments received
All-time total
$94
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 3 | $58.44 | |
| Janssen Biotech, Inc. | 1 | $35.80 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
849
Patients
259
Total drug cost
$253,127
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 340 | 105 | $7,203 |
| Omeprazole | Generic | 222 | 84 | $3,313 |
| Linzess (Linaclotide) | Brand | 180 | 59 | $225,195 |
| Pantoprazole Sodium | Generic | 23 | 0 | $411 |
| Ondansetron Hcl | Generic | 14 | 0 | $87 |
| Procto-Med Hc (Hydrocortisone) | Brand | 13 | 0 | $277 |
| Hydrocortisone | Generic | 12 | 0 | $234 |
| Omeprazole-Sodium Bicarbonate (Omeprazole/Sodium Bicarbonate) | Brand | 12 | 0 | $9,684 |
| Amoxicillin | Generic | 11 | 11 | $85 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 11 | 0 | $4,061 |
Frequently asked questions
What is Dr. Carl Guillaume's medical specialty?
Dr. Carl Guillaume practices Gastroenterology Physician in Bronx, NY.
Where does Dr. Carl Guillaume practice?
Dr. Carl Guillaume practices at 4422 3Rd Ave, Bronx, NY 104572545. Office phone: 7189606205.
What is Dr. Carl Guillaume's NPI?
Dr. Carl Guillaume's National Provider Identifier (NPI) is 1528098118, issued by NPPES.
Does Dr. Carl Guillaume accept Medicare assignment?
Yes. Dr. Carl Guillaume accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Carl Guillaume commonly perform?
Top Medicare-reported procedures in 2023: Initial nursing facility care with moderate level of medical decision making (HCPCS 99305); Replacement of stomach stoma tube (HCPCS 43762); Subsequent nursing facility care with straightforward level of medical decision making (HCPCS 99308). Source: CMS Medicare Physician & Other Practitioners file.