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NICHOLAS PETER THEBERGE DDS
NPI 1346580974
Oral & Maxillofacial Surgery in Greenfield, MA

Active since February 19, 2013PECOS Enrolled
285 HIGH ST, GREENFIELD, MA 01301(413) 774-2961(413) 773-3076 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2025, Dec 15, 2022, Jul 21, 2022 and 3 more (6 updates tracked since 2016).

About Nicholas Peter Theberge Dds NPPES

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

NICHOLAS PETER THEBERGE DDS (NPI 1346580974) is an individual oral & maxillofacial surgery provider in Greenfield, Massachusetts, licensed in Massachusetts (DN1857508) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346580974
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameNICHOLAS PETER THEBERGECredential: DDS
Location Address285 HIGH STGreenfield, MA 01301-2608
Mailing Address44 White Birch DrChesterfield, NH 03443-3622 · (603) 903-3058
Phone(413) 774-2961
Fax(413) 773-3076
Sole ProprietorNo
Enumeration DateFebruary 19, 2013
Last NPPES UpdateJune 10, 20256 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1346580974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MA · DN1857508
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
285 HIGH ST, Greenfield, MA 01301
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Secondary Practice Locations 2

Location 1368 Canal StBrattleboro, VT 05301-6618 · Phone (802) 254-9418 · Fax (802) 254-9418
Location 2272 Main StKeene, NH 03431-4122 · Phone (603) 357-3709 · Fax (603) 357-3709

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Peter Theberge Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nicholas Theberge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Valley Oral Surgery Associates, PC
Same address
Oral & Maxillofacial Surgery
285 HIGH ST
Greenfield, MA 01301
  • Reassigned Medicare billing, Massachusetts, Vermont and New Hampshire enrollments
  • Also billed through NPI 1912928946 (Vermont), NPI 1417328162 (New Hampshire)
  • 6 clinicians in this Medicare group
NPI 1285655217 (413) 774-2961

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

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL JAY SPINK DDS, MD
Oral & Maxillofacial Surgery
285 HIGH ST
GREENFIELD, MA 01301
Franklin County (603) 357-3709
CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC
Oral & Maxillofacial Surgery
285 HIGH ST
GREENFIELD, MA 01301
Franklin County (413) 774-2961
DR. CHRISTOPHER ANDREW BLOUNT DDS
Oral & Maxillofacial Surgery
285 HIGH ST
GREENFIELD, MA 01301
Franklin County (413) 774-2961
DR. VINCENT P CAPASSO DDS
Oral & Maxillofacial Surgery
285 HIGH ST
GREENFIELD, MA 01301
Franklin County (413) 774-2961

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 Nicholas Theberge's NPI number?

The NPI number for Nicholas Theberge is 1346580974. It was assigned to this individual provider in the NPPES registry on February 19, 2013.

Where is Nicholas Theberge located?

Nicholas Theberge practices at 285 High St, Greenfield, MA 01301. The listed phone number is (413) 774-2961.

What is Nicholas Theberge's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Nicholas Theberge enrolled in Medicare?

Yes. Nicholas Theberge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Theberge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Theberge reassigns Medicare benefits to Connecticut Valley Oral Surgery Associates, PC (Greenfield, MA). The 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 Nicholas Theberge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Theberge accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Northeast Delta Dental list Nicholas Theberge 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 Nicholas Theberge was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.