DR. ADLY THEBAUD MD
NPI 1629049770
Psychiatry & Neurology - Psychiatry in Orange City, FL

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
2725 REBECCA LN STE 107, ORANGE CITY, FL 32763(386) 775-0736(386) 775-0738 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Nov 7, 2023 (2 updates tracked since 2023).

About Dr. Adly Thebaud Md NPPES

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

DR. ADLY THEBAUD MD (NPI 1629049770) is an individual psychiatry provider in Orange City, Florida, licensed in Florida (ME60436) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1629049770
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ADLY THEBAUDCredential: MD
Location Address2725 REBECCA LN STE 107Orange City, FL 32763-8350
Mailing Address2725 Rebecca Ln Ste 107Orange City, FL 32763-8350 · (386) 775-0736 · Fax (386) 775-0738
Fax(386) 775-0738
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1629049770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in FL · ME60436
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2725 REBECCA LN STE 107, Orange City, FL 32763

Other Identifiers 3

Other12951FL · Medicare
OtherW9687FL · Medicare
Medicaid008922100FL

Accepted 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. Adly Thebaud 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 ID5597715920
PECOS Enrollment IDI20110406000825
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

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.
138 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763
Community/Behavioral Health
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763
Nurse Practitioner (Psychiatric/Mental Health)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763
Clinical Nurse Specialist (Psychiatric/Mental Health)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763

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 Adly Thebaud's NPI number?

The NPI number for Adly Thebaud is 1629049770. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Adly Thebaud located?

Adly Thebaud practices at 2725 Rebecca Ln Ste 107, Orange City, FL 32763. The listed phone number is (386) 775-0736.

What is Adly Thebaud's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Adly Thebaud enrolled in Medicare?

Yes. Adly Thebaud 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 Adly Thebaud accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans and 2 other insurers list Adly Thebaud 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 Adly Thebaud was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.