MARY ELIZABETH DUARTE THIBAULT M.D.
NPI 1972999449
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Houston, TX

Q: What is Mary Duarte Thibault's NPI number?

The NPI number for Mary Duarte Thibault is 1972999449. It was assigned to this individual provider in the NPPES registry on April 12, 2015. The provider is also known as Mary Elizabeth Duarte.

Q: What is Mary Duarte Thibault's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Active since April 12, 2015PECOS EnrolledAccepts Medicare Assignment

84.05/100

CMS Quality Rating

6651 MAIN ST STE 1020, HOUSTON, TX 77030(832) 826-7735 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, May 18, 2023, Oct 19, 2022 and 3 more (6 updates tracked since 2019).

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About Mary Elizabeth Duarte Thibault M.d. NPPES

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

MARY ELIZABETH DUARTE THIBAULT M.D. (NPI 1972999449) is an individual urogynecology and reconstructive pelvic surgery provider in Houston, Texas, licensed in Texas (T9386) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1972999449

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameMARY ELIZABETH DUARTE THIBAULTCredential: M.D.

Location Address6651 MAIN ST STE 1020Houston, TX 77030-2351

Mailing Address6651 Main St Ste 1020Houston, TX 77030-2351 · (832) 826-7735

Phone(832) 826-7735

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015

Enumeration DateApril 12, 2015

Last NPPES UpdateJune 3, 20256 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1972999449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

Licenses✔ Licensed in TX · T9386✔ Licensed in TX · PHYTEMP

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License T9386 (TX), PHYTEMP (TX)

6651 MAIN ST STE 1020, Houston, TX 77030

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Other Names 1

Former Name (1)Mary Elizabeth Duarte

Secondary Practice Location 1

Location 11504 Taub LoopHouston, TX 77030-1608 · Phone (832) 826-7313

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Mary Elizabeth Duarte Thibault M.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 ID3971898198

PECOS Enrollment IDI20220909000036, I20251008003218

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 3

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

26 services26 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.

26 services18 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.

17 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260048

Location2301 Holmes StreetKansas City, MO 64108 · Jackson County

Emergency services Birthing friendly

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260102

Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County

Emergency services Birthing friendly

Texas Childrens Hosp

Childrens · Houston, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453304

Location6621 Fannin StreetHouston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

84.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.49

Improvement Activities

Cost

54.39

Other Providers at the Same Location NPPES 11

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

BAYLESS DRUM

Obstetrics & Gynecology