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JENNIFER LEIGH THERIOT M.D.
NPI 1891962395
Pediatrics in Glens Falls, NY

Active since May 14, 2008PECOS Enrolled
84 BROAD ST STE 1, GLENS FALLS, NY 12801(518) 798-9538(518) 798-9576 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Leigh Theriot M.d. NPPES

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

JENNIFER LEIGH THERIOT M.D. (NPI 1891962395) is an individual pediatrics provider in Glens Falls, New York, licensed in New York (243818) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891962395
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER LEIGH THERIOTCredential: M.D.
Location Address84 BROAD ST STE 1Glens Falls, NY 12801-4381
Mailing Address84 Broad St Ste 1Glens Falls, NY 12801-4381 · (518) 798-9538 · Fax (518) 798-9576
Phone(518) 798-9538
Fax(518) 798-9576
Sole ProprietorNo
Enumeration DateMay 14, 2008
Last NPPES UpdateMay 22, 2020
NPPES CertifiedMay 22, 2020
✔ NPI 1891962395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 243818
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
84 BROAD ST STE 1, Glens Falls, NY 12801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Leigh Theriot M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Theriot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,210 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Jennifer Theriot's NPI number?

The NPI number for Jennifer Theriot is 1891962395. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Jennifer Theriot located?

Jennifer Theriot practices at 84 Broad St Ste 1, Glens Falls, NY 12801. The listed phone number is (518) 798-9538.

What is Jennifer Theriot's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Theriot enrolled in Medicare?

Yes. Jennifer Theriot is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Theriot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Theriot reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Theriot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Theriot was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.