SAMUEL J THIBODEAUX (CRNA) – Certified Registered Nurse Anesthetist, NPI 1578544516
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,455 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA
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Provider Addresses for SAMUEL J THIBODEAUX (CRNA)
Box, Poststraße, Troisdorf-Mitte, Troisdorf, Rhein-Sieg-Kreis, North Rhine-Westphalia, 53840, Germany
RENO, NV 895334120
Phone: (775) 747-5050
Fax: (775) 747-5005
Type: Mailing
271, Observatory Avenue, Garden Court Apartments, Ukiah, Mendocino County, California, 95482, United States
UKIAH, CA 954825757
Phone: (707) 462-0681
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $31 |
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: 2010-11-17
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 |
|---|---|---|---|---|
| I20101117000482 | I | Certified Registered Nurse Anesthetist (Crna) | CA | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 28 | 26 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 23 | 23 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 22 | 21 | $0 |
| 01214 | Anesthesia for total hip replacement | 21 | 20 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 19 | 18 | $0 |
Insurance plans in this area (ZIP 89533)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| - | CA | |
| Diagnostic Radiology | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Diagnostic Radiology | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Diagnostic Radiology | CA | |
| Certified Registered Nurse Anesthetist (Crna) | WA |
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