MICHAEL ANDREW THIEBLEMONT (MD) – Family Medicine Physician, NPI 1003876947
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for MICHAEL ANDREW THIEBLEMONT (MD)
3, Walnut Street, Fort Couch, Lemoyne, Cumberland County, Pennsylvania, 17043, United States
SUITE 206
LEMOYNE, PA 170431168
Phone: (717) 761-0208
Fax: (717) 761-2023
Type: Mailing
7 DOCK HILL RD
MIDDLEBURG, PA 178428910
Phone: (570) 837-2123
Fax: (570) 837-2185
Type: Mailing
46 RED HILL CT
NEWPORT, PA 170748706
Phone: (717) 567-3151
Fax: (717) 567-7571
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $1,638.
Total Amount is formed as General ($1,638) + Research ($0) + Ownership ($0) = $1,638.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($209).
Total Amount
$1,638
General + Research + Ownership
Payments
85
Total payment records
General Amount
$1,638
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $209 |
| Novo Nordisk Inc | $183 |
| ABBVIE INC. | $130 |
| PFIZER INC. | $103 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $74 |
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: 2009-12-10
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 |
|---|---|---|---|---|
| I20091210000426 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 318 | 160 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 268 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 183 | 142 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 72 | 13 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 64 | 64 | $0 |
Insurance plans in this area (ZIP 17043)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | PA | 81002 | Urinalysis, manual test | 31 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | MD | |
| - | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| - | PA | |
| - | PA | |
| Family Practice | PA | |
| - | PA |
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