MICHAEL STANLEY THIBAULT (PAC) – Physician Assistant, NPI 1659324515
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for MICHAEL STANLEY THIBAULT (PAC)
6 Business Park Dr Ste 204
Branford, CT 064052988
Phone: (203) 208-4082
Type: Location
21-25, Tamarack Avenue, Hayestown, Germantown, Danbury, Western Connecticut Planning Region, Connecticut, 06811, United States
ADVANCED DERM CARE, PC
DANBURY, CT 06811
Phone: (203) 797-8990
Fax: (203) 748-7861
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 290 Open Payments records for all available years, with a total value of $6,682.
Total Amount is formed as General ($6,682) + Research ($0) + Ownership ($0) = $6,682.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,304).
Total Amount
$6,682
General + Research + Ownership
Payments
290
Total payment records
General Amount
$6,682
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,304 |
| Janssen Biotech, Inc. | $746 |
| Regeneron Healthcare Solutions, Inc. | $593 |
| Incyte Corporation | $304 |
| Amgen Inc. | $291 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040123000600 | I | Physician Assistant | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 304 | 214 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 237 | 46 | $0 |
| 96900 | Application of ultraviolet light to skin | 111 | 17 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 106 | 96 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 73 | 59 | $0 |
Insurance plans in this area (ZIP 06405)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | NY | |
| - | CT | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MN | |
| Nurse Practitioner | CT | |
| D E R M A T O L O G Y | CT | |
| Physician Assistant | MA | |
| P A T H O L O G Y | TX | |
| D E R M A T O L O G Y | CT | |
| Physician Assistant | CT | |
| D E R M A T O L O G Y | MI |
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