SETH CAMERON THIBODEAU (D.O.) – Emergency Medicine Physician, NPI 1538507561

SETH CAMERON THIBODEAU (D.O.) is a healthcare provider. based in Quincy, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 036142013 (IL). The NPI Number for SETH CAMERON THIBODEAU (D.O.) is 1538507561

Main info

Male
Sole Proprietor
13 Years Of Experience
Name
SETH CAMERON THIBODEAU (D.O.)
NPI
1538507561
Phone
(217) 223-8400
Address
1005 BROADWAY ST
Enumeration Date
12 June 2013
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
21722384004152
Graduation Year
2013 (13 years ago)
PAC ID
7012227440
Group Practice PAC ID
2769420959
Professional Enrollment ID
I20170721002409

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

Provider Addresses for SETH CAMERON THIBODEAU (D.O.)

  • 1005 BROADWAY ST

    QUINCY, IL 623012834

    Phone: (217) 223-8400

    Type: Mailing

  • 640 W Washington St

    Pittsfield, IL 623631350

    Phone: (217) 285-2113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170721002409IEmergency MedicineILTBD
I20240521002324IEmergency MedicineIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making334312$0
99284Emergency department visit with moderate level of medical decision making317312$0
99291Critical care, first 30-74 minutes249244$0
99283Emergency department visit with low level of medical decision making4949$0
99292Critical care, each additional 30 minutes3633$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769420959View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Emergency MedicineIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIN
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is there an official ID for SETH CAMERON THIBODEAU (D.O.) in U.S. healthcare records?
The official identifier for SETH CAMERON THIBODEAU (D.O.) is NPI 1538507561.
Is SETH CAMERON THIBODEAU (D.O.) still an active registrant?
SETH CAMERON THIBODEAU (D.O.) carries an active NPI according to the public dataset.
What area of care is associated with SETH CAMERON THIBODEAU (D.O.)?
SETH CAMERON THIBODEAU (D.O.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SETH CAMERON THIBODEAU (D.O.)?
Travel planning: use Quincy, Illinois as the reference point for SETH CAMERON THIBODEAU (D.O.), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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