MR. MARK J THIBAULT MD
NPI 1679507776
Physical Medicine & Rehabilitation in Sartell, MN

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1901 CONNECTICUT AVE S, SARTELL, MN 56377(320) 259-4100(320) 257-5523 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark J Thibault Md NPPES

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

MR. MARK J THIBAULT MD (NPI 1679507776) is an individual physical medicine & rehabilitation provider in Sartell, Minnesota, licensed in Minnesota (32514) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1987).

NPPES Registry Identity

NPI1679507776
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMR. MARK J THIBAULTCredential: MD
Location Address1901 CONNECTICUT AVE SSartell, MN 56377-2554
Mailing Address1901 Connecticut Ave SSartell, MN 56377-2554 · (320) 259-4100 · Fax (320) 257-5523
Fax(320) 257-5523
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1987
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
NPI 1679507776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in MN · 32514
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1901 CONNECTICUT AVE S, Sartell, MN 56377

Other Identifiers 1

Medicaid243877100MN

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

Mr. Mark J 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 ID8729098769
PECOS Enrollment IDI20060504000450
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 6

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
86 services64 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 services21 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
21 services21 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
21 services21 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.
20 services20 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

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.23
Promoting Interoperability91
Improvement Activities40
Cost82.88

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.

Orthopaedic Surgery
1901 CONNECTICUT AVE S, ST. CLOUD ORTHOPEDIC ASSOCIATES, LTD.
SARTELL, MN 56377
Physician Assistant
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Specialist/Technologist (Athletic Trainer)
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Specialist/Technologist (Athletic Trainer)
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Physician Assistant
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Physical Therapist
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Physical Therapist
1901 CONNECTICUT AVE S
SARTELL, MN 56377
Orthopaedic Surgery
1901 CONNECTICUT AVE S
SARTELL, MN 56377

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 Mark Thibault's NPI number?

The NPI number for Mark Thibault is 1679507776. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mark Thibault located?

Mark Thibault practices at 1901 Connecticut Ave S, Sartell, MN 56377. The listed phone number is (320) 259-4100.

What is Mark Thibault's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Mark Thibault enrolled in Medicare?

Yes. Mark 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 Mark Thibault accept?

Health plans from Medica list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Thibault was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.