MR. JUSTIN ROBERT THIBEAULT PA-C
NPI 1376579631
Physician Assistant - Surgical in Portland, OR

Q: What is Justin Thibeault's NPI number?

The NPI number for Justin Thibeault is 1376579631. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Q: What is Justin Thibeault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Justin Thibeault was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 25, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1515 NW 18TH AVE, 3RD FLOOR, PORTLAND, OR 97209(503) 224-8399(503) 224-5661 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Justin Robert Thibeault Pa-c NPPES

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

MR. JUSTIN ROBERT THIBEAULT PA-C (NPI 1376579631) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA153476) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376579631

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. JUSTIN ROBERT THIBEAULTCredential: PA-C

Location Address1515 NW 18TH AVE, 3RD FLOORPortland, OR 97209-2516

Mailing Address200 Ne Mother Joseph Pl, Ste 210Vancouver, WA 98664-3295 · (503) 224-8399 · Fax (503) 224-5661

Phone(503) 224-8399

Fax(503) 224-5661

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 25, 2006

Last NPPES UpdateJuly 6, 2016

✔ NPI 1376579631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OR · PA153476

1515 NW 18TH AVE, Portland, OR 97209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Mr. Justin Robert Thibeault Pa-c 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 ID3678758521

PECOS Enrollment IDI20110419000906, I20130913000623

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 12

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

116 services85 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.

97 services90 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

64 services49 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

59 services51 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

50 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

44 services44 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

43 services37 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

31 services30 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

27 services27 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.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500050

Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County

Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500150

Location2211 NE 139th StreetVancouver, WA 98686 · Clark County

Emergency services Birthing friendly

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 18

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

MR. JAMES ROBERT WEGGENMAN PT

Physical Therapist

1515 NW 18TH AVE, STE 400, PETTYGROVE PHYSICAL THERAPY AND SPORTS REHAB.
PORTLAND, OR 97209

Multnomah County (503) 228-1306

MR. LEO FRANCIS QUINN JR. PT

Physical Therapist

1515 NW 18TH AVE, STE 400
PORTLAND, OR 97209

Multnomah County (503) 228-1306

NORTHWEST AMBULATORY SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

1515 NW 18TH AVE, STE 200
PORTLAND, OR 97209

Multnomah County (503) 542-4888

DR. IRA M WEINTRAUB MD

Orthopaedic Surgery (Sports Medicine)

1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209

Multnomah County (503) 224-8399

BARRY A JACOSHENK PA-C

Physician Assistant (Surgical)

1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209

Multnomah County (503) 224-8399

RONALYN C REYES PA-C

Physician Assistant

1515 NW 18TH AVE
PORTLAND, OR 97209

Multnomah County (503) 224-8399

MRS. KATHERINE DESPINA BRADEN DPT

Physical Therapist

1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209

Multnomah County (503) 228-1306

ROSE CITY PHYSICAL THERAPY ASSOCIATES, LLC

Clinic/Center (Physical Therapy)

1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209

Multnomah County (503) 228-1306

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 Justin Thibeault's NPI number?

The NPI number for Justin Thibeault is 1376579631. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Justin Thibeault located?

Justin Thibeault practices at 1515 NW 18th Ave 3rd Floor, Portland, OR 97209. The listed phone number is (503) 224-8399.

What is Justin Thibeault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Justin Thibeault enrolled in Medicare?

Yes. Justin Thibeault 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 Justin Thibeault accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Justin Thibeault 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 Justin Thibeault affiliated with any hospitals?

According to CMS data, Justin Thibeault is affiliated with Peacehealth Southwest Medical Center and Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Thibeault was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.