DEVON THIBODEAU – Physician Assistant, NPI 1316476252

DEVON THIBODEAU is a healthcare provider. based in Westford, Massachusetts. specializing in PHYSICIAN ASSISTANT. The NPI Number for DEVON THIBODEAU is 1316476252

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DEVON THIBODEAU
NPI
1316476252
Phone
Not provided
Address
3 BEECH RD
Enumeration Date
5 June 2017
Last Update Date
5 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173896270
Graduation Year
2017 (9 years ago)
PAC ID
0749554442
Group Practice PAC ID
8921910894
Professional Enrollment ID
I20170919002712
Address ID
MA021495066EV103XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for DEVON THIBODEAU

  • 3, Beech Road, Nabnasset, Westford, Middlesex County, Massachusetts, 01886-2179, United States

    WESTFORD, MA 018861422

    Phone:

    Type: Mailing

  • Cambridge Hospital, 1493, Cambridge Street, Inman Square, Cambridge, Middlesex County, Massachusetts, 02139, United States

    CAMBRIDGE, MA 021391047

    Phone: (617) 665-2113

    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: 2026-02-16

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
I20170919002712IPhysician AssistantMATBD
I20260216001564IPhysician AssistantCOTBD

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
99284Emergency department visit with moderate level of medical decision making6767$0
99285Emergency department visit with high level of medical decision making5858$0
99283Emergency department visit with low level of medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 01886)

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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: 8921910894View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-NH
Rheumatology, Internal MedicineMA
-MA
Emergency MedicineMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Emergency MedicineMA
Physician AssistantMA

Reviews

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Frequently asked questions

Can I use this page to confirm DEVON THIBODEAU's NPI?
Yes. DEVON THIBODEAU is listed with NPI 1316476252 in the public NPI dataset.
Is DEVON THIBODEAU listed as active for patients and plans?
The listing shows DEVON THIBODEAU as active in the NPI system.
What is DEVON THIBODEAU's primary classification?
Physician Assistant is the headline specialty for DEVON THIBODEAU here. Clinical services aligned with this taxonomy classification.
Where should I expect DEVON THIBODEAU on a map?
Expect Westford, Massachusetts as a primary anchor for DEVON THIBODEAU unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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