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DR. DWIGHT THIBODEAUX O.D.
NPI 1962516039
Optometrist in Santa Fe, NM

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
19.34/100
CMS Quality Rating
1409 LUISA ST, SUITE D, SANTA FE, NM 87505(505) 984-8989(505) 984-8892 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dwight Thibodeaux O.d. NPPES

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

DR. DWIGHT THIBODEAUX O.D. (NPI 1962516039) is an individual optometrist in Santa Fe, New Mexico, licensed in New Mexico (300) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1981).

NPPES Registry Identity

NPI1962516039
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DWIGHT THIBODEAUXCredential: O.D.
Location Address1409 LUISA ST, SUITE DSanta Fe, NM 87505-7002
Mailing Address1409 Luisa St, Suite DSanta Fe, NM 87505-7002 · (505) 984-8989 · Fax (505) 984-8892
Phone(505) 984-8989
Fax(505) 984-8892
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1981
Enumeration DateAugust 18, 2006
Last NPPES UpdateFebruary 28, 2008
✔ NPI 1962516039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NM · 300
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1409 LUISA ST, Santa Fe, NM 87505
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Other Identifiers 5

Other201009924NM · Presbyterian Health Plan
Medicare UPINT81684NM
OtherUNITED HEALTH CARENM · 850448729
Other850448729TNM · Blue Cross Blue Shield #
Other850448729NM · Lovelace Health Plan

Accepted Insurance

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

Dr. Dwight Thibodeaux O.d. 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 ID9133012651
PECOS Enrollment IDI20041208000507
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 12

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.

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.
492 services305 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
371 services366 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
104 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services93 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
95 services94 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
65 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

19.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality38.68
Improvement Activities0

Other Providers at the Same Location NPPES

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

DR. PAUL A. TACHAU O.D.
Optometrist
1409 LUISA ST, SUITE D
SANTA FE, NM 87505
Santa Fe County (505) 984-8989

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 Dwight Thibodeaux's NPI number?

The NPI number for Dwight Thibodeaux is 1962516039. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Dwight Thibodeaux located?

Dwight Thibodeaux practices at 1409 Luisa St Suite D, Santa Fe, NM 87505. The listed phone number is (505) 984-8989.

What is Dwight Thibodeaux's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dwight Thibodeaux enrolled in Medicare?

Yes. Dwight Thibodeaux 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 Dwight Thibodeaux accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Dwight Thibodeaux 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 Dwight Thibodeaux was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.