PAUL DOUGLAS THIELKING (M.D.) – Psychiatry Physician, NPI 1124036595
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
256 PSYCHIATRY in UT
Provider Addresses for PAUL DOUGLAS THIELKING (M.D.)
154 E Myrtle Ave Ste 204
Murray, UT 841074850
Phone: (018) 413-8978
Type: Location
48 N 1100 E Ste B
American Fork, UT 840032910
Phone: (801) 369-8989
Type: Location
672 W 400 S
STE 201
SPRINGVILLE, UT 846633170
Phone: (801) 369-8989
Fax: (801) 704-9741
Type: Mailing
672 W 400 S STE 201
SPRINGVILLE, UT 846633170
Phone: (801) 369-8989
Type: Location
West Clark Road, Ypsilanti, Washtenaw County, Michigan, 48198, United States
SUITE 201
YPSILANTI, MI 481971104
Phone: (734) 434-6600
Fax: (734) 434-6684
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $395.
Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: ABBVIE INC. ($212).
Total Amount
$395
General + Research + Ownership
Payments
17
Total payment records
General Amount
$395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $212 |
| Lundbeck LLC | $52 |
| Otsuka America Pharmaceutical, Inc. | $30 |
| Neurocrine BioSciences, Inc. | $26 |
| Janssen Pharmaceuticals, Inc | $24 |
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: 2021-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060114000051 | I | Hospice/Palliative Care | UT | TBD |
| I20210428002407 | I | Psychiatry | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Nurse Practitioner | DE | |
| Physician Assistant | MI | |
| Clinical Social Worker | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | UT | |
| Physician Assistant | UT |
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