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DR. ROBERT THERIAULT D.O.
NPI 1073551982
Family Medicine in Nashua, NH

Active since June 03, 2006Opted out of Medicare · through Apr 1, 2028
190 BROAD ST STE 103, NASHUA, NH 03063(603) 880-1511(603) 880-8511 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Theriault D.o. NPPES

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

DR. ROBERT THERIAULT D.O. (NPI 1073551982) is an individual family medicine provider in Nashua, New Hampshire, licensed in New Hampshire (9290) and active in the NPI registry since June 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073551982
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT THERIAULTCredential: D.O.
Location Address190 BROAD ST STE 103Nashua, NH 03063-3147
Mailing Address190 Broad St Ste 103Nashua, NH 03063-3147 · (603) 880-1511 · Fax (603) 880-8511
Phone(603) 880-1511
Fax(603) 880-8511
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateApril 19, 2016
✔ NPI 1073551982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NH · 9290
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.
190 BROAD ST STE 103, Nashua, NH 03063
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Other Identifiers 1

Medicare PINSX3419NH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Robert Theriault D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03063 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers17 claims27 services$6.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT A. THERIAULT, D.O., PLLC
Family Medicine
190 BROAD ST STE 103
NASHUA, NH 03063
Hillsborough County (603) 578-9705

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 Robert Theriault's NPI number?

The NPI number for Robert Theriault is 1073551982. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Robert Theriault located?

Robert Theriault practices at 190 Broad St Ste 103, Nashua, NH 03063. The listed phone number is (603) 880-1511.

What is Robert Theriault's specialty?

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

Is Robert Theriault enrolled in Medicare?

No. Robert Theriault has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Robert Theriault was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.