ALEXA RAE THIBODEAU MD
NPI 1881188407
Ophthalmology in Ann Arbor, MI

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment
1000 WALL ST, ANN ARBOR, MI 48105(734) 764-4190 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2022, Jan 25, 2019, Jun 18, 2018 (3 updates tracked since 2018).

About Alexa Rae Thibodeau Md NPPES

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

ALEXA RAE THIBODEAU MD (NPI 1881188407) is an individual ophthalmology provider in Ann Arbor, Michigan, licensed in Michigan (4301506450) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2018).

NPPES Registry Identity

NPI1881188407
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameALEXA RAE THIBODEAUCredential: MD
Location Address1000 WALL STAnn Arbor, MI 48105-1912
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2018
Enumeration DateJune 18, 2018
Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
NPI 1881188407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301506450
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1000 WALL ST, Ann Arbor, MI 48105

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

Alexa Rae Thibodeau 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 ID5496000853
PECOS Enrollment IDI20231129003182
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

Optometrist
1000 WALL ST
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Student in an Organized Health Care Education/Training Program
1000 WALL ST
ANN ARBOR, MI 48105
Optometrist
1000 WALL ST
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105

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 Alexa Thibodeau's NPI number?

The NPI number for Alexa Thibodeau is 1881188407. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Alexa Thibodeau located?

Alexa Thibodeau practices at 1000 Wall St, Ann Arbor, MI 48105. The listed phone number is (734) 764-4190.

What is Alexa Thibodeau's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alexa Thibodeau enrolled in Medicare?

Yes. Alexa Thibodeau 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 Alexa Thibodeau was last updated on December 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.