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DR. SOPHIE THIBAULT M.D.
NPI 1922487685
Pediatrics in Winter Garden, FL

Active since May 27, 2015PECOS Enrolled
2200 FOWLER GROVE BLVD STE 220, WINTER GARDEN, FL 34787(407) 646-0042(407) 656-0633 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2019, Jul 16, 2018 (2 updates tracked since 2018).

About Dr. Sophie Thibault M.d. NPPES

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

DR. SOPHIE THIBAULT M.D. (NPI 1922487685) is an individual pediatrics provider in Winter Garden, Florida, licensed in Florida (ME132235) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922487685
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SOPHIE THIBAULTCredential: M.D.
Location Address2200 FOWLER GROVE BLVD STE 220Winter Garden, FL 34787-5597
Mailing Address2200 Fowler Grove Blvd Ste 220Winter Garden, FL 34787-5597 · (407) 646-0042 · Fax (407) 656-0633
Phone(407) 646-0042
Fax(407) 656-0633
Sole ProprietorNo
Enumeration DateMay 27, 2015
Last NPPES UpdateFebruary 7, 20192 updates tracked since enumeration
✔ NPI 1922487685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME132235
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.
2200 FOWLER GROVE BLVD STE 220, Winter Garden, FL 34787
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sophie Thibault 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 Sophie Thibault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
14 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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 34787 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

DR. NAOMI EDWIN DO
Student in an Organized Health Care Education/Training Program
2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN, FL 34787
Orange County (407) 656-0042
DR. ALYSSA NICOLE HEIDEN MD
Student in an Organized Health Care Education/Training Program
2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN, FL 34787
Orange County (407) 656-0042
SIERRA DENAE SANCHEZ MD
Student in an Organized Health Care Education/Training Program
2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN, FL 34787
Orange County (321) 947-5206
QUYNH BAO LE DO
Student in an Organized Health Care Education/Training Program
2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN, FL 34787
Orange County (407) 656-0042
TIDA THAIPEJR MD
Student in an Organized Health Care Education/Training Program
2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN, FL 34787
Orange County (407) 656-0042
CHRISTINA CHEESEMAN DO
Student in an Organized Health Care Education/Training Program
2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN, FL 34787
Orange County (407) 303-5990
DR. ALEXANDRIA BOOKER DIXON MD
Pediatrics
2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN, FL 34787
Orange County (407) 656-0042
DONYA JAVESHGHANI MD
Student in an Organized Health Care Education/Training Program
2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN, FL 34787
Orange County (407) 656-0042

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 Sophie Thibault's NPI number?

The NPI number for Sophie Thibault is 1922487685. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Sophie Thibault located?

Sophie Thibault practices at 2200 Fowler Grove Blvd Ste 220, Winter Garden, FL 34787. The listed phone number is (407) 646-0042.

What is Sophie Thibault's specialty?

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

Is Sophie Thibault enrolled in Medicare?

Yes. Sophie Thibault is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophie Thibault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophie Thibault reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, 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 Sophie Thibault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophie Thibault accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Sophie 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 Sophie Thibault was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.