CHRISTOPHER THERIAULT (PA-C) – Physician Assistant, NPI 1750430047

CHRISTOPHER THERIAULT (PA-C) is a healthcare provider. based in Salem, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2102 (MA). The NPI Number for CHRISTOPHER THERIAULT (PA-C) is 1750430047

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER THERIAULT (PA-C)
NPI
1750430047
Phone
Not provided
Address
81 HIGHLAND AVE
Enumeration Date
9 January 2007
Last Update Date
19 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787396950
Graduation Year
2005 (21 years ago)
PAC ID
8123310737
Group Practice PAC ID
3577467224
Professional Enrollment ID
I20160928000465
Address ID
MA019233748DA1XXXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for CHRISTOPHER THERIAULT (PA-C)

  • North Shore Medical Center - Salem Hospital, 81, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States

    SALEM, MA 019702714

    Phone:

    Mailing address matches the actual address.

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: 2018-01-22

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
I20160928000465IPhysician AssistantMATBD
I20180122002053IPhysician AssistantNHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3630$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
99238Hospital discharge day management, 30 minutes or less2121$0
View full utilization report →

Insurance plans in this area (ZIP 01970)

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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: 3577467224View full group profile

Reviews

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Frequently asked questions

Can I cross-check CHRISTOPHER THERIAULT (PA-C) using NPI 1750430047?
NPI 1750430047 belongs to CHRISTOPHER THERIAULT (PA-C); compare other details if you need extra assurance.
Is CHRISTOPHER THERIAULT (PA-C) shown as active in public data?
Registry records indicate CHRISTOPHER THERIAULT (PA-C) maintains an active NPI.
How would a patient describe CHRISTOPHER THERIAULT (PA-C)'s focus?
For CHRISTOPHER THERIAULT (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CHRISTOPHER THERIAULT (PA-C) located near Salem?
CHRISTOPHER THERIAULT (PA-C) currently maps to Salem, Massachusetts in this extract.
Does CHRISTOPHER THERIAULT (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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