1. Home
  2. Directory
  3. Michigan
  4. Traverse City
  5. Family Medicine
  6. NPI Profile

DR. ADRIANNA MARGAUX THIBAULT MD
NPI 1427677608
Family Medicine in Traverse City, MI

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684(231) 931-8012 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Apr 8, 2020 (2 updates tracked since 2020).

About Dr. Adrianna Margaux Thibault Md NPPES

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

DR. ADRIANNA MARGAUX THIBAULT MD (NPI 1427677608) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (4301508756) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427677608
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ADRIANNA MARGAUX THIBAULTCredential: MD
Location Address1400 MEDICAL CAMPUS DRTraverse City, MI 49684-7823
Mailing Address1400 Medical Campus DrTraverse City, MI 49684-7823 · (231) 931-8012
Phone(231) 931-8012
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 8, 2020
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1427677608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301508756
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 MEDICAL CAMPUS DR, Traverse City, MI 49684
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Dr. Adrianna Margaux Thibault Md 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 ID648611194
PECOS Enrollment IDI20240515000192
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 4

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 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.
29 services24 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.
27 services26 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.
11 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

SATYA PILLAY DO
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
SAMANTHA K WINDLE D.O.
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
DR. ELENA NIKONOVA MD
Student in an Organized Health Care Education/Training Program
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
KAITLYN LEE KILPATRICK DO
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
DR. GWENDOLYN M GRAVELIE MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
JACOB GEORGE FLYNN M.D.
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
BREANNA TRIBELHORN MD
Student in an Organized Health Care Education/Training Program
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
NATALIE A GRAY MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8031

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 Adrianna Thibault's NPI number?

The NPI number for Adrianna Thibault is 1427677608. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Adrianna Thibault located?

Adrianna Thibault practices at 1400 Medical Campus Dr, Traverse City, MI 49684. The listed phone number is (231) 931-8012.

What is Adrianna Thibault's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adrianna Thibault enrolled in Medicare?

Yes. Adrianna Thibault 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 Adrianna Thibault accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Adrianna Thibault 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 Adrianna Thibault affiliated with any hospitals?

According to CMS data, Adrianna Thibault is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Adrianna Thibault was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.