MICHAEL EDMOND THERIAULT M.D.
NPI 1083078539
Psychiatry & Neurology - Neurology in Paoli, PA

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
21 INDUSTRIAL BLVD, PAOLI, PA 19301(610) 647-8000 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2021, Jul 15, 2021 (2 updates tracked since 2021).

About Michael Edmond Theriault M.d. NPPES

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

MICHAEL EDMOND THERIAULT M.D. (NPI 1083078539) is an individual neurology provider in Paoli, Pennsylvania, licensed in Pennsylvania (MD473446) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of New York Medical College (2016).

NPPES Registry Identity

NPI1083078539
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMICHAEL EDMOND THERIAULTCredential: M.D.
Location Address21 INDUSTRIAL BLVDPaoli, PA 19301-1610
Mailing Address21 Industrial BlvdPaoli, PA 19301-1610
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
NPI 1083078539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · MD473446
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

21 INDUSTRIAL BLVD, Paoli, PA 19301

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

Michael Edmond Theriault M.d. 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 ID1658666151
PECOS Enrollment IDI20210809002667
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 2024 & 2026 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.
331 services248 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
174 services174 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
118 services116 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
55 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services50 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.
41 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 17

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

Internal Medicine
21 INDUSTRIAL BLVD, SUITE 200
PAOLI, PA 19301
Dentist (Oral and Maxillofacial Surgery)
21 INDUSTRIAL BLVD
PAOLI, PA 19301
Psychiatry & Neurology (Neurology)
21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301
Dentist
21 INDUSTRIAL BLVD, SUITE 202
PAOLI, PA 19301
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21 INDUSTRIAL BLVD, SUITE #21
PAOLI, PA 19301
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21 INDUSTRIAL BLVD, SUITE 101
PAOLI, PA 19301
Nurse Practitioner (Family)
21 INDUSTRIAL BLVD, SUITE 101
PAOLI, PA 19301
Dentist (Periodontics)
21 INDUSTRIAL BLVD, SUITE 202
PAOLI, PA 19301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083078539, enumerated as an "individual" on April 11, 2016.

The provider is located at 21 INDUSTRIAL BLVD PAOLI, PA 19301 and the phone number is (610) 647-8000.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

Michael Theriault is affiliated with: HOSPITAL OF UNIV OF PENNSYLVANIA, BRYN MAWR HOSPITAL, PAOLI HOSPITAL, MAIN LINE HOSPITAL LANKENAU and RIDDLE MEMORIAL HOSPITAL.