ADRIENNE THIBODEAU (PA-C) – Surgical Physician Assistant, NPI 1780069310
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for ADRIENNE THIBODEAU (PA-C)
2 HOSPITAL DR
SUITE 203
HOLYOKE, MA 010406632
Phone: (413) 540-5048
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 3 Open Payments records for all available years, with a total value of $310.
Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.
Last reported payment date: 2023-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($169).
Total Amount
$310
General + Research + Ownership
Payments
3
Total payment records
General Amount
$310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $169 |
| Inari Medical, Inc. | $142 |
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: 2015-12-15
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 |
|---|---|---|---|---|
| I20151215002374 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 61 | 32 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | 24 | $0 |
| 47562 | Removal of gallbladder using an endoscope | 18 | 18 | $0 |
| 49505 | Repair of groin hernia (5 years or older) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 01040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| N E U R O L O G Y | MA | |
| A N E S T H E S I O L O G Y | MA | |
| General Surgery | MA | |
| Diagnostic Radiology | OR | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | MA | |
| Hospitalist, Family Practice | IL | |
| A N E S T H E S I O L O G Y | MA |
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