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MICHAEL STANLEY THIBAULT PAC
NPI 1659324515
Physician Assistant in Danbury, CT

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
25 TAMARACK AVENUE, ADVANCED DERM CARE, PC, DANBURY, CT 06811(203) 797-8990(203) 748-7861 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Dec 8, 2025 (2 updates tracked since 2025).

About Michael Stanley Thibault Pac NPPES

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

MICHAEL STANLEY THIBAULT PAC (NPI 1659324515) is an individual physician assistant in Danbury, Connecticut, licensed in Connecticut (1389) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Branford, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1659324515
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL STANLEY THIBAULTCredential: PAC
Location Address25 TAMARACK AVENUE, ADVANCED DERM CARE, PCDanbury, CT 06811
Mailing Address25 Tamarack Avenue, Advanced Derm Care, PcDanbury, CT 06811 · (203) 797-8990 · Fax (203) 748-7861
Phone(203) 797-8990
Fax(203) 748-7861
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 19, 2006
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1659324515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 1389
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.
Also ListedDermatologyTaxonomy 207N00000X · License 001389 (CT)
Also ListedFamily MedicineTaxonomy 207Q00000X · License PA 1933 (CO)
25 TAMARACK AVENUE, Danbury, CT 06811
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Secondary Practice Location 1

Location 16 Business Park Dr Ste 204Branford, CT 06405-2988 · Phone (203) 208-4082

Other Identifiers 1

OtherPA1933CO · Pa License

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

Michael Stanley Thibault Pac 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 ID9234031824
PECOS Enrollment IDI20040123000600
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
431 services59 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.
385 services231 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
120 services109 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
108 services77 patients
Application of ultraviolet light to skin 96900
Application of ultraviolet light to skin is a treatment process where a special type of light is directed onto the skin. It's often used to treat certain skin conditions, like psoriasis or vitiligo. It's a safe, controlled procedure performed by a healthcare professional.
83 services19 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
51 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06811 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%3,981 patients4/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
81%671 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 87% · 1,643 patients
93%1,643 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 519 patients
2%519 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Michael Thibault's NPI number?

The NPI number for Michael Thibault is 1659324515. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Michael Thibault located?

Michael Thibault practices at 25 Tamarack Avenue Advanced Derm Care, PC, Danbury, CT 06811. The listed phone number is (203) 797-8990.

What is Michael Thibault's specialty?

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

Is Michael Thibault enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Thibault was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.