AMY THIBAULT (M.D.) – Obstetrics & Gynecology Physician, NPI 1700832086

AMY THIBAULT (M.D.) is a healthcare provider. based in South burlington, Vermont. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 0420010606 (VT). The NPI Number for AMY THIBAULT (M.D.) is 1700832086

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
AMY THIBAULT (M.D.)
NPI
1700832086
Phone
(802) 862-7338
Address
185 TILLEY DR
Enumeration Date
26 May 2006
Last Update Date
17 October 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
8022336692
Graduation Year
1999 (27 years ago)
PAC ID
4587578158
Group Practice PAC ID
3971586447
Professional Enrollment ID
I20031118000273
Address ID
VT054034484SO185XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

119 OBSTETRICS/GYNECOLOGY in VT

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Provider Addresses for AMY THIBAULT (M.D.)

  • 185, Tilley Drive, South Burlington, Chittenden County, Vermont, 05403, United States

    SOUTH BURLINGTON, VT 054034484

    Phone: (802) 862-7338

    Fax: (802) 862-8411

    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)

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: 2003-11-18

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
I20031118000273IObstetrics/GynecologyVTTBD

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 minutes4038$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2121$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 05403)

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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: 3971586447View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YVT
Nurse PractitionerVT
O B S T E T R I C S/ G Y N E C O L O G YVT
O B S T E T R I C S/ G Y N E C O L O G YVT
O B S T E T R I C S/ G Y N E C O L O G YVT
O B S T E T R I C S/ G Y N E C O L O G YVT

Reviews

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Frequently asked questions

What is the registry number for AMY THIBAULT (M.D.)?
The registry entry for AMY THIBAULT (M.D.) shows NPI 1700832086.
Is AMY THIBAULT (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists AMY THIBAULT (M.D.) as active.
What does the directory say AMY THIBAULT (M.D.) does?
Insurance directories may phrase it differently, but here AMY THIBAULT (M.D.) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is AMY THIBAULT (M.D.) tied to South Burlington, Vermont?
If you are local to South Burlington, Vermont, AMY THIBAULT (M.D.) may be relevant to your search.
Who maintains AMY THIBAULT (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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