DR. LARA GAINEY THIBODEAU MD
NPI 1316526320
Student in an Organized Health Care Education/Training Program in Durham, NC

Q: What is Lara Thibodeau's NPI number?

The NPI number for Lara Thibodeau is 1316526320. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Lara Thibodeau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Lara Thibodeau enrolled in Medicare?

No. Lara Thibodeau has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lara Thibodeau was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 06, 2021Opted out of Medicare · through Jul 1, 2028

2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Lara Gainey Thibodeau Md NPPES

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

DR. LARA GAINEY THIBODEAU MD (NPI 1316526320) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since April 2021. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316526320

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. LARA GAINEY THIBODEAUCredential: MD

Location Address2301 ERWIN RDDurham, NC 27705-4699

Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Enumeration DateApril 6, 2021

NPPES CertifiedApril 6, 2021

✔ NPI 1316526320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2301 ERWIN RD, Durham, NC 27705

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lara Gainey Thibodeau Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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