1. Home
  2. Directory
  3. Maine
  4. York
  5. Internal Medicine
  6. NPI Profile

DR. EVANGELINE THIBODEAU
NPI 1205005444
Internal Medicine - Infectious Disease in York, ME

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
2 HOSPITAL DR, STE A, YORK, ME 03909(207) 351-3530 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Evangeline Thibodeau NPPES

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

DR. EVANGELINE THIBODEAU (NPI 1205005444) is an individual infectious disease provider in York, Maine, licensed in Maine (MD19168) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Tufts University School Of Medicine (2006).

NPPES Registry Identity

NPI1205005444
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. EVANGELINE THIBODEAU
Location Address2 HOSPITAL DR, STE AYork, ME 03909-1011
Mailing Address2 Hospital Dr, Ste AYork, ME 03909-1011 · (207) 351-3530
Phone(207) 351-3530
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2006
Enumeration DateFebruary 21, 2008
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1205005444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in ME · MD19168✔ Licensed in NH · EL03724
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2 HOSPITAL DR, York, ME 03909
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, WellSense Health Plan.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. Evangeline Thibodeau 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 ID6901062819
PECOS Enrollment IDI20120723000026, I20240419000580
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
106 services48 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.
81 services47 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
63 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services42 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.
47 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services23 patients

Hospital Affiliations CMS Care Compare 4

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH
2/5 CMS rating
OwnershipProprietary
CMS Certification Number300014
Location11 Whitehall RoadRochester, NH 03867 · Strafford County
Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03909 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

YORK INTERNAL MEDICINE PA LLC
Internal Medicine
2 HOSPITAL DR, SUITE A
YORK, ME 03909
York County (207) 351-3530

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 Evangeline Thibodeau's NPI number?

The NPI number for Evangeline Thibodeau is 1205005444. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Evangeline Thibodeau located?

Evangeline Thibodeau practices at 2 Hospital Dr Ste A, York, ME 03909. The listed phone number is (207) 351-3530.

What is Evangeline Thibodeau's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Evangeline Thibodeau enrolled in Medicare?

Yes. Evangeline 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.

What insurance does Evangeline Thibodeau accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Evangeline 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 Evangeline Thibodeau affiliated with any hospitals?

According to CMS data, Evangeline Thibodeau is affiliated with York Hospital, Frisbie Memorial Hospital, Wentworth-Douglass Hospital and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Evangeline Thibodeau was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.