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

Q: What is Michael Theriault's NPI number?

The NPI number for Michael Theriault is 1083078539. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Michael Theriault's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Theriault was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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: August 16, 2026.

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

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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 Bryn Mawr Hospital, 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

Phone(610) 647-8000

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

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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 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

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

30 services29 patients

Nerve conduction, 3-4 studies 95908

Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.

28 services28 patients

Measurement of brain wave activity (eeg), 41-60 minutes 95812

This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.

25 services22 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

20 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Needle measurement of electrical activity in arm or leg muscles, limited study 95885

This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.

13 services11 patients

Nerve conduction, 5-6 studies 95909

13 services13 patients

Nerve conduction, 3-4 studies 95908

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

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

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · 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.

JAMIE L DILLINGER C.R.N.P.

Nurse Practitioner (Family)

21 INDUSTRIAL BLVD, SUITE 101
PAOLI, PA 19301

Chester County (610) 251-0300

PAOLI MEDICAL CONSULTANTS LLC

Internal Medicine

21 INDUSTRIAL BLVD, SUITE 101
PAOLI, PA 19301

Chester County (610) 648-9330

KRISTOPHER ERICK MEDINA

Nurse Practitioner (Family)

21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301

Chester County (610) 647-8000

ANNETTE M SEXTON CRNP

Nurse Practitioner (Acute Care)

21 INDUSTRIAL BLVD, STE 205
PAOLI, PA 19301

Chester County (610) 284-8500

NEURO CARE ASSOCIATES, INC.

Psychiatry & Neurology (Neurology)

21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301

Chester County (610) 647-8000

PHILIP A ADELMAN MD

Psychiatry & Neurology (Neurology)

21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301

Chester County (610) 647-8000

STEPHEN CARY FOX M.D., FACP

Internal Medicine (Hematology & Oncology)

21 INDUSTRIAL BLVD, SUITE 204
PAOLI, PA 19301

Chester County (610) 647-2747

MARILYN RYAN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

21 INDUSTRIAL BLVD, SUITE #21
PAOLI, PA 19301

Chester County (610) 251-0300

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 Michael Theriault's NPI number?

The NPI number for Michael Theriault is 1083078539. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Michael Theriault located?

Michael Theriault practices at 21 Industrial Blvd, Paoli, PA 19301. The listed phone number is (610) 647-8000.

What is Michael Theriault's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Theriault enrolled in Medicare?

Yes. Michael Theriault 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 Michael Theriault affiliated with any hospitals?

According to CMS data, Michael Theriault is affiliated with Bryn Mawr Hospital, Paoli Hospital, Chester County Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Theriault was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.