ERIN SMITH THIBAULT (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1720291966

ERIN SMITH THIBAULT (MD) is a healthcare provider. based in Hixson, Tennessee. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 59215 (GA). The NPI Number for ERIN SMITH THIBAULT (MD) is 1720291966

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ERIN SMITH THIBAULT (MD)
NPI
1720291966
Phone
(423) 497-5355
Address
4976 ALPHA LN
Enumeration Date
7 May 2007
Last Update Date
5 April 2023

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
4236246623
Graduation Year
2002 (24 years ago)
PAC ID
5193816718
Group Practice PAC ID
4880647585
Professional Enrollment ID
I20190423002192
Address ID
TN374041161CH2525XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

232 PATHOLOGY in LA

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Provider Addresses for ERIN SMITH THIBAULT (MD)

  • 4976 ALPHA LN

    HIXSON, TN 373435470

    Phone: (423) 497-5355

    Fax: (423) 308-0281

    Type: Mailing

  • O'Donovan Drive, Health & Medical Area, Silverside, Baton Rouge, East Baton Rouge Parish, Louisiana, 70836, United States

    BATON ROUGE, LA 708084388

    Phone: (225) 766-4999

    Fax: (225) 767-4702

    Type: Mailing

  • 1651 GUNBARREL RD STE 102A

    CHATTANOOGA, TN 374213289

    Phone: (423) 468-1543

    Type: Location

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: 2019-04-23

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
I20190423002192IPathologyTNTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity4,1862,370$0
88312Special stained specimen slides to identify organisms including interpretation and report305185$0
88341Special stained specimen slides to examine tissue, each additional procedure252100$0
88342Special stained specimen slides to examine tissue, initial procedure176132$0
88304Pathology examination of tissue using a microscope, moderately low complexity164128$0
View full utilization report →

Insurance plans in this area (ZIP 37343)

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Provider's Procedures

ERIN SMITH THIBAULT (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYLA88304Pathology examination of tissue using a microscope, moderately low complexity1713
PATHOLOGYLA88307Pathology examination of tissue using a microscope, moderately high complexity4825
PATHOLOGYLA88312Special stained specimen slides to identify organisms including interpretation and report11578
PATHOLOGYLA88342Tissue or cell analysis by immunologic technique4025

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: 4880647585View full group profile

Reviews

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Frequently asked questions

How do payers reference ERIN SMITH THIBAULT (MD)?
For ERIN SMITH THIBAULT (MD), use NPI 1720291966 as the unique 10-digit identifier.
Is ERIN SMITH THIBAULT (MD) shown as active in public data?
Registry records indicate ERIN SMITH THIBAULT (MD) maintains an active NPI.
What area of care is associated with ERIN SMITH THIBAULT (MD)?
ERIN SMITH THIBAULT (MD)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ERIN SMITH THIBAULT (MD)?
Travel planning: use Hixson, Tennessee as the reference point for ERIN SMITH THIBAULT (MD), then confirm.
When was this NPI issued?
Enumeration for ERIN SMITH THIBAULT (MD) is noted as May 7, 2007 where the registry provides it.

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