THEODORE TREIBICK (M.D.) – General Practice Physician, NPI 1609920776
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
146 ADDICTION MEDICINE in MA
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Provider Addresses for THEODORE TREIBICK (M.D.)
138, East Street, Mill Iron Farm, Carlisle, Middlesex County, Massachusetts, 01741, United States
CARLISLE, MA 017411105
Phone: (978) 287-0005
Type: Mailing
265 Franklin St Ste 1702
Boston, MA 021103144
Phone: (617) 206-4624
Fax: (855) 870-4649
Type: Location
100 Merrimack St Ste 301E
Lowell, MA 018521708
Phone: (617) 206-4624
Fax: (855) 870-4649
Type: Location
417 ELK RUN RD
HUDSON, NH 030513542
Phone: (978) 505-9897
Fax: (855) 870-4649
Type: Mailing
101 CAMBRIDGE ST STE 100
BURLINGTON, MA 018033769
Phone: (781) 272-9500
Fax: (855) 870-4649
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: 2012-11-13
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 |
|---|---|---|---|---|
| I20121113000210 | I | Addiction Medicine | MA | 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 | 356 | 22 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 195 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 186 | 25 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 160 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 36 | 14 | $0 |
Insurance plans in this area (ZIP 01741)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MA |
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