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Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

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Michael GilmoreDO

Family Practice · Bangor, ME 04401

NPI: 1053336206

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20

🟡 Moderate

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128b4 · Date: 20250320 · State: ME

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

138

Total Claims

$14K

Drug Cost

39

Beneficiaries

$362

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-66%

Cost per patient vs peers

$362 vs $1,068 avg

+43%

Brand preference vs peers

12.9% vs 9.0% avg

Brand vs Generic

87% generic

Brand: 13 claims · $6,660

Generic: 88 claims · $4,466

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Thyroid,pork31$2,518
Fluconazole11$364
Levothyroxine Sodium13$94

Prescribing Profile

3

Unique Drugs

20.0

Anomaly Score

Patient Profile

69

Avg Age

67%

Female

0.96

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About