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KELLI N THIBEDEAU PA
NPI 1346601911
Physician Assistant in Weymouth, MA

Active since March 10, 2016PECOS EnrolledAccepts Medicare Assignment
851 MAIN ST, SUITE 11, BRIGHAM AND WOMEN'S NEUROSURGERY, WEYMOUTH, MA 02190(781) 331-4923(781) 340-0231 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2023, Sep 27, 2019 (2 updates tracked since 2019).

About Kelli N Thibedeau Pa NPPES

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

KELLI N THIBEDEAU PA (NPI 1346601911) is an individual physician assistant in Weymouth, Massachusetts and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Tufts University School Of Medicine (2016).

NPPES Registry Identity

NPI1346601911
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI N THIBEDEAUCredential: PA
Location Address851 MAIN ST, SUITE 11, BRIGHAM AND WOMEN'S NEUROSURGERYWeymouth, MA 02190-1612
Mailing Address51 Performance Drive, Brigham Surgical Associates, Suite 300Weymouth, MA 02189 · (781) 624-4943
Phone(781) 331-4923
Fax(781) 340-0231
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateMarch 10, 2016
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1346601911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
851 MAIN ST, Weymouth, MA 02190
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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

Kelli N Thibedeau Pa 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 ID5496048365
PECOS Enrollment IDI20160729001407
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 2

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 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.
97 services87 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

DR. JOHN B PIECYK M.D.
Specialist
851 MAIN ST, SUITE 11
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-4923
DR. MARTIN DAVID BROFF M.D.
Allergy & Immunology
851 MAIN ST
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-1060
HYPERTENSION AND KIDNEY CENTER, P.C.
Internal Medicine (Nephrology)
851 MAIN ST, SUITE ONE
S WEYMOUTH, MA 02190
Norfolk County (781) 337-6500
DONNA MARIE CHAPMAN ACNP
Nurse Practitioner
851 MAIN ST, SUITE ONE
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 337-6500
RAD RHEUMATOLOGY & AUTOIMMUNE DISORDERS LLC
Internal Medicine (Rheumatology)
851 MAIN ST, SUITE 14
S WEYMOUTH, MA 02190
Norfolk County (508) 822-2874
DR. GEORGE J CUCHURAL JR. M.D.
Specialist
851 MAIN ST, SUITE 14
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-9300
IRAJ AGHDASI M.D.
Internal Medicine
851 MAIN ST, SUITE # 24
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 331-8584
DR. CYNTHIA M ROONEY MD
Pediatrics
851 MAIN ST, SUITE #6
WEYMOUTH, MA 02190
Norfolk County (781) 331-4715

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 Kelli Thibedeau's NPI number?

The NPI number for Kelli Thibedeau is 1346601911. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is Kelli Thibedeau located?

Kelli Thibedeau practices at 851 Main St Suite 11, Brigham And Women's Neurosurgery, Weymouth, MA 02190. The listed phone number is (781) 331-4923.

What is Kelli Thibedeau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelli Thibedeau enrolled in Medicare?

Yes. Kelli Thibedeau 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.

Is Kelli Thibedeau affiliated with any hospitals?

According to CMS data, Kelli Thibedeau is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Kelli Thibedeau was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.