AMBER HICKS-THIBODEAU
NPI 1063869469
Family Medicine in Mooresville, NC

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
798 OAK RIDGE FARM HWY. SUITE A, MOORESVILLE, NC 28115(704) 658-0011(704) 658-0012 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, Jun 18, 2020, Jun 12, 2020 and 2 more (5 updates tracked since 2016).

About Amber Hicks-thibodeau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER HICKS-THIBODEAU (NPI 1063869469) is an individual family medicine provider in Mooresville, North Carolina, licensed in North Carolina (2015-02105) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Lake Norman Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063869469
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMBER HICKS-THIBODEAU
Location Address798 OAK RIDGE FARM HWY. SUITE AMooresville, NC 28115
Mailing Address798 Oak Ridge Farm Hwy. Suite AMooresville, NC 28115 · (704) 658-0011 · Fax (704) 658-0012
Fax(704) 658-0012
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 16, 2016
Last NPPES UpdateSeptember 9, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1063869469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2015-02105
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
798 OAK RIDGE FARM HWY. SUITE A, Mooresville, NC 28115

Secondary Practice Locations 2

Location 1500 Gypsy LnYoungstown, OH 44504-1315 · Phone (330) 884-3235 · Fax (330) 884-3234
Location 25170 Belmont AveYoungstown, OH 44505-1022 · Phone (330) 759-2511 · Fax (330) 884-3234

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amber Hicks-thibodeau is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951691575
PECOS Enrollment IDI20200615002723
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
358 services198 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
355 services204 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
247 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
162 services162 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
122 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services74 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Norman Regional Medical Center

Acute Care Hospitals · Mooresville, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340129
Location171 Fairview RoadMooresville, NC 28117 · Iredell County
Emergency services

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,583 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
44%215 patients3/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers41 claims123 services$5.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims18 services$0.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Hicks-thibodeau's NPI number?

The NPI number for Amber Hicks-thibodeau is 1063869469. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Amber Hicks-thibodeau located?

Amber Hicks-thibodeau practices at 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115. The listed phone number is (704) 658-0011.

What is Amber Hicks-thibodeau's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amber Hicks-thibodeau enrolled in Medicare?

Yes. Amber Hicks-thibodeau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amber Hicks-thibodeau accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Amber Hicks-thibodeau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amber Hicks-thibodeau affiliated with any hospitals?

According to CMS data, Amber Hicks-thibodeau is affiliated with Lake Norman Regional Medical Center and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Amber Hicks-thibodeau was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.