CHRISTOPHER THIBEAULT – Physician Assistant, NPI 1205487493

CHRISTOPHER THIBEAULT is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold a License No. 1205487493 (OK). The NPI Number for CHRISTOPHER THIBEAULT is 1205487493

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER THIBEAULT
NPI
1205487493
Phone
(918) 863-3789
Address
10326 S OSWEGO AVE
Enumeration Date
27 September 2019
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182748555
Graduation Year
2019 (7 years ago)
PAC ID
6305272188
Group Practice PAC ID
3375442692
Professional Enrollment ID
I20200214002045
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for CHRISTOPHER THIBEAULT

  • 10326, South Oswego Avenue, Greater Forest Oaks, Tulsa, Tulsa County, Oklahoma, 74137, United States

    TULSA, OK 74137

    Phone: (918) 863-3789

    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)

CMS reports 21 Open Payments records for all available years, with a total value of $365.

Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($94).

Total Amount

$365

General + Research + Ownership

Payments

21

Total payment records

General Amount

$365

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-02-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200214002045IPhysician AssistantOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8175$0
99214Established patient office or other outpatient visit, 30-39 minutes5251$0
99203New patient office or other outpatient visit, 30-44 minutes3232$0
81003Automated urinalysis test1616$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 74137)

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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: 3375442692View full group profile

Reviews

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Frequently asked questions

Can I verify CHRISTOPHER THIBEAULT with an NPI only?
You can start verification with NPI 1205487493 for CHRISTOPHER THIBEAULT, then check state licensing separately.
Does the file indicate CHRISTOPHER THIBEAULT is practicing under active NPI?
Directory data currently reports CHRISTOPHER THIBEAULT as active.
What is CHRISTOPHER THIBEAULT's primary classification?
Physician Assistant is the headline specialty for CHRISTOPHER THIBEAULT here. Clinical services aligned with this taxonomy classification.
What address line appears for CHRISTOPHER THIBEAULT?
CHRISTOPHER THIBEAULT's geographic hint is Tulsa, Oklahoma in our summary view.
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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