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DR. SUZANNE RENEE THIBODEAUX MD PHD
NPI 1073958658
Pathology - Clinical Pathology in Saint Louis, MO

Active since May 08, 2013PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
425 S EUCLID AVE, DIV PA LAB AND GENOMIC MED, SAINT LOUIS, MO 63110(314) 362-5641(314) 362-0369 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Suzanne Renee Thibodeaux Md Phd NPPES

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

DR. SUZANNE RENEE THIBODEAUX MD PHD (NPI 1073958658) is an individual clinical pathology provider in Saint Louis, Missouri, licensed in Missouri (2017030247) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073958658
Entity TypeIndividualFemale
Primary Taxonomy207ZC0006X
Provider Legal NameDR. SUZANNE RENEE THIBODEAUXCredential: MD PHD
Location Address425 S EUCLID AVE, DIV PA LAB AND GENOMIC MEDSaint Louis, MO 63110-1005
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-5641 · Fax (314) 362-0369
Phone(314) 362-5641
Fax(314) 362-0369
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 8, 2013
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
✔ NPI 1073958658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0006X
License✔ Licensed in MO · 2017030247
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
425 S EUCLID AVE, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid200046010MO

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

Dr. Suzanne Renee Thibodeaux Md Phd 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 ID2567738867
PECOS Enrollment IDI20171031001985
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 5

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.

Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
74 services72 patients
Mechanical separation of plasma from blood 36514
Mechanical separation of plasma from blood is a procedure where your blood is drawn and placed in a machine. This machine spins the blood at high speeds, separating the plasma (a yellowish fluid) from the rest of the blood components. The plasma is then collected for medical purposes.
31 services15 patients
Mechanical separation of white blood cells and platelets from blood 36522
This procedure, called apheresis, filters your blood. It separates white blood cells and platelets from other blood components. The remaining blood is then returned to your body. It's often used to collect cells for donation or for treating certain medical conditions.
25 services12 patients
Blood bank physician services for investigation of transfusion reaction with written report 86078
This service involves a blood bank doctor examining a patient's reaction to a blood transfusion. The doctor will conduct tests to identify the cause and provide a written report detailing the findings and recommendations for future care.
23 services23 patients
Mechanical separation of red blood cells from blood 36512
Mechanical separation of red blood cells from blood is a process where a machine separates red blood cells from the rest of your blood. This allows for detailed study of these cells, aiding in diagnosis and treatment of various blood-related conditions.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 13

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

DR. JOHN S.A CHRISINGER MD
Pathology (Anatomic Pathology)
425 S EUCLID AVE, DIV PA, ANATOMIC AND MOLECULAR PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. CHIEH-YU LIN MD
Pathology (Anatomic Pathology)
425 S EUCLID AVE, DIV PA, ANATOMIC AND MOLECULAR PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. ZHONGREN ZHOU MD
Pathology (Anatomic Pathology)
425 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 273-1884
DR. ELIZABETH MATTHEWS BRUNT MD
Pathology (Anatomic Pathology & Clinical Pathology)
425 S EUCLID AVE, 3RD FLOOR
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. PEGGY LYNN KENDALL MD
Internal Medicine (Allergy & Immunology)
425 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 996-8670
DR. GEORGE RANDOLPHE WETTACH MD
Pathology (Anatomic Pathology & Clinical Pathology)
425 S EUCLID AVE, DEPT PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. CODY WEIMHOLT DO
Pathology (Anatomic Pathology)
425 S EUCLID AVE, DIV PA, ANATOMIC AND MOLECULAR PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. KATHLEEN BYRNES MD
Pathology (Anatomic Pathology & Clinical Pathology)
425 S EUCLID AVE, DIV PA, ANATOMIC AND MOLECULAR PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641

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 Suzanne Thibodeaux's NPI number?

The NPI number for Suzanne Thibodeaux is 1073958658. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Suzanne Thibodeaux located?

Suzanne Thibodeaux practices at 425 S Euclid Ave Div PA Lab And Genomic Med, Saint Louis, MO 63110. The listed phone number is (314) 362-5641.

What is Suzanne Thibodeaux's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

Is Suzanne Thibodeaux enrolled in Medicare?

Yes. Suzanne Thibodeaux 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.

Is Suzanne Thibodeaux affiliated with any hospitals?

According to CMS data, Suzanne Thibodeaux is affiliated with Memorial Hospital and Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Suzanne Thibodeaux was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.