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DR. LORRAINE G THIBODEAU M.D.
NPI 1083600852
Emergency Medicine in Albany, NY

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
47 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-3773(518) 262-3236 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lorraine G Thibodeau M.d. NPPES

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

DR. LORRAINE G THIBODEAU M.D. (NPI 1083600852) is an individual emergency medicine provider in Albany, New York, licensed in New York (199732-1) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Tufts University School Of Medicine (1993).

NPPES Registry Identity

NPI1083600852
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. LORRAINE G THIBODEAUCredential: M.D.
Location Address47 NEW SCOTLAND AVEAlbany, NY 12208-3412
Mailing Address47 New Scotland AveAlbany, NY 12208-3412 · (518) 262-3773 · Fax (518) 262-3236
Phone(518) 262-3773
Fax(518) 262-3236
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1993
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1083600852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 199732-1
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
47 NEW SCOTLAND AVE, Albany, NY 12208
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Other Identifiers 1

Medicaid01683614NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lorraine G Thibodeau 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 ID1951593979
PECOS Enrollment IDI20101008000981
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lorraine Thibodeau reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albany Medical College
Same address
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600
Saratoga Hospital
19 mi
Family Medicine
112 CHARLTON RD
Ballston Lake, NY 12019
  • Reassigned Medicare billing, New York enrollment
  • 456 clinicians in this Medicare group
NPI 1437418795 (518) 399-7723
Healthcare Partners Of Saratoga Ltd
22 mi
Urgent Care
6 MEDICAL PARK DRIVE
Malta, NY 12020
  • Reassigned Medicare billing, New York enrollment
  • 103 clinicians in this Medicare group
NPI 1700159613 (518) 886-5426

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
110 services109 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services49 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
5%20 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%24 patients2/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 20

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

AMC
Psychiatric Hospital
47 NEW SCOTLAND AVE, PSYCHIATRY DEPARTMENT
ALBANY, NY 12208
Albany County (516) 547-3032
BRIANNA SAMSON PA-C
Physician Assistant (Medical)
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5332
VILOK DESAI
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE, DEPARTMENT OF OTOLARYNGOLOGY
ALBANY, NY 12208
Albany County (518) 264-5578
TAYLOR SEKYRA
Physician Assistant
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5521
DR. TODD BEYER MD
Surgery
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5623
ROBIN M GRAY FNP
Nurse Practitioner
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3480
MR. SREENIVAS GARLA MD
Radiology (Neuroradiology)
47 NEW SCOTLAND AVE, RADIOLOGY DEPT
ALBANY, NY 12208
Albany County (518) 262-3277
DR. KRISTEN MORGAN PEACE M.D.
Emergency Medicine
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE
ALBANY, NY 12208
Albany County (518) 262-3773

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 Lorraine Thibodeau's NPI number?

The NPI number for Lorraine Thibodeau is 1083600852. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Lorraine Thibodeau located?

Lorraine Thibodeau practices at 47 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-3773.

What is Lorraine Thibodeau's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lorraine Thibodeau enrolled in Medicare?

Yes. Lorraine 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.

Which organizations bill Medicare for Lorraine Thibodeau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorraine Thibodeau reassigns Medicare benefits to 3 organizations: Albany Medical College (Albany, NY), Saratoga Hospital (Ballston Lake, NY) and Healthcare Partners Of Saratoga Ltd (Malta, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lorraine Thibodeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorraine Thibodeau accept?

Health plans from Taro Health list Lorraine 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 Lorraine Thibodeau affiliated with any hospitals?

According to CMS data, Lorraine Thibodeau is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Lorraine Thibodeau was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.