DR. ADLY THEBAUD (MD) – Psychiatry Physician, NPI 1629049770
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,954 PSYCHIATRY in FL
Provider Addresses for DR. ADLY THEBAUD (MD)
2725 REBECCA LN STE 107
ORANGE CITY, FL 327638350
Phone: (386) 775-0736
Fax: (386) 775-0738
Type: Mailing
1403, Medical Plaza Drive, Sanford, Seminole County, Florida, 32771, United States
SUITE 202
SANFORD, FL 327711000
Phone: (407) 322-3096
Fax: (407) 321-5655
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $2,103.
Total Amount is formed as General ($1,803) + Research ($300) + Ownership ($0) = $2,103.
Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($1,779).
Total Amount
$2,103
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,803
General payments
Research Amount
$300
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $1,779 |
| Eli Lilly and Company | $300 |
| ABBVIE INC. | $24 |
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: 2011-04-06
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 |
|---|---|---|---|---|
| I20110406000825 | I | Psychiatry | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 52 | $0 |
Insurance plans in this area (ZIP 32763)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Psychiatry, Family Practice | FL |
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