Seth Alan Thibault, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1696 Issued in KS

Practice address

216 S Oak St
Pratt, KS 67124-2721

Phone

(620) 672-5934

Fax

(620) 672-3550

NPI assigned

Nov 14, 2006

Last updated

Jun 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maydew Thibault Optometry LLCGroup PAC ID 9436126703, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

62.78 of 100Reported as individual

Quality

32.33

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seththibault@maydewthibault.direct.eyemdemr.com
• Direct secure messaging: seththibaultod@maydewthibault.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maydew Thibault Optometry LLC

  • Optometrist
  • Pratt, KS
  • NPI 1740343276
  Medicare reassignment Care Compare group NPD
• Maydew Thibault Optometry LLC

  • Optometrist
  • Kingman, KS
  • NPI 1356638662
  NPD Authorized official
• Maydew Thibault Optometry LLC

  • Optometrist
  • Medicine Lodge, KS
  • NPI 1720132715
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1174695100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1024",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671241024",
            "telephone_number": "620-672-5934",
            "fax_number": "620-672-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S OAK ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242721",
            "telephone_number": "620-672-5934",
            "fax_number": "620-672-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBAULT",
        "first_name": "SETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00152892",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266640A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna L Sterneker, PT
• Daniel J Suiter, M.D.
• Kim Renee Talsma, RPH
• Lyndel Mae Theis, APRN, FNP-C
• Therapy Plus LLC
• Jamie Sue Thimesch, NP-C
• Macy Tillman, APRN
• Christa Janelle Titus, DNP, FNP-C
• Toetal Care LLC
• Total Renal Care Inc (Pratt Dialysis Center)

• Optometrist in Pratt, KS
• Providers in Pratt, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.