1. Home
  2. Directory
  3. Kansas
  4. Pratt
  5. Optometrist
  6. NPI Profile

DR. SETH ALAN THIBAULT OD
NPI 1174695100
Optometrist in Pratt, KS

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
216 S OAK ST, PRATT, KS 67124(620) 672-5934(620) 672-3550 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Seth Alan Thibault Od NPPES

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

DR. SETH ALAN THIBAULT OD (NPI 1174695100) is an individual optometrist in Pratt, Kansas, licensed in Kansas (1696) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2004).

NPPES Registry Identity

NPI1174695100
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SETH ALAN THIBAULTCredential: OD
Location Address216 S OAK STPratt, KS 67124-2721
Mailing AddressPo Box 1024Pratt, KS 67124-1024 · (620) 672-5934 · Fax (620) 672-3550
Phone(620) 672-5934
Fax(620) 672-3550
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2004
Enumeration DateNovember 14, 2006
Last NPPES UpdateJune 11, 2012
✔ NPI 1174695100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KS · 1696
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
216 S OAK ST, Pratt, KS 67124
Open in Google Maps ↗

Other Identifiers 4

OtherP00152892Railroad Medicare
Medicare ID-Type Unspecified650995KS
Medicare UPINV01154
Medicaid200266640AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.Insurance ›

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. Seth Alan Thibault Od 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 ID6709853971
PECOS Enrollment IDI20040916000204
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 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
479 services475 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.
335 services178 patients
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.
160 services132 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
118 services88 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
97 services87 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
96 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67124 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%44 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%639 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
100%29 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers38 claims38 services$43.85 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier17 claims31 services$30.52 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers24 claims44 services$38.42 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers46 claims88 services$11.03 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 2

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

DR. TROY O MAYDEW OD
Optometrist
216 S OAK ST
PRATT, KS 67124
Pratt County (620) 672-5934
MAYDEW THIBAULT OPTOMETRY LLC
Optometrist
216 S OAK ST
PRATT, KS 67124
Pratt County (620) 672-5934

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 Seth Thibault's NPI number?

The NPI number for Seth Thibault is 1174695100. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Seth Thibault located?

Seth Thibault practices at 216 S Oak St, Pratt, KS 67124. The listed phone number is (620) 672-5934.

What is Seth Thibault's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Seth Thibault enrolled in Medicare?

Yes. Seth Thibault 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.

What insurance does Seth Thibault accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Seth Thibault 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.

When was this NPI record last updated?

The NPPES record for Seth Thibault was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.