DR. SUZANNE RENEE THIBODEAUX (MD PHD) – Clinical Pathology Physician, NPI 1073958658
Clinical Pathology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
406 PATHOLOGY in MO
Provider Addresses for DR. SUZANNE RENEE THIBODEAUX (MD PHD)
660 S EUCLID AVE
CB 8118
SAINT LOUIS, MO 631101010
Phone: (314) 362-5641
Fax: (314) 362-0369
Type: Mailing
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-5641
Fax: (314) 362-0369
Type: Mailing
425 S EUCLID AVE
DIV PA LAB AND GENOMIC MED
SAINT LOUIS, MO 631101005
Phone: (314) 362-5641
Fax: (314) 362-0369
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Fresenius Kabi USA, LLC ($29).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fresenius Kabi USA, LLC | $29 |
| Novartis Pharmaceuticals Corporation | $15 |
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: 2017-10-31
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 |
|---|---|---|---|---|
| I20171031001985 | I | Pathology | MO | 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 |
|---|---|---|---|---|
| 86077 | Blood bank physician services for cross match and/or evaluation and written report | 41 | 39 | $0 |
| 86078 | Blood bank physician services for investigation of transfusion reaction with written report | 13 | 13 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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