Michael Theriault, M.D.
NPI 1083078539 · Neurology Physician · Paoli, PA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Theriault, M.D. is a Neurology Physician provider in Paoli, PA (NPI 1083078539).
Provider details
- NPI number
- 1083078539
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD473446 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,021 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 331 | $130 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 174 | $170 |
| Measurement of Brain Wave Activity (eeg), Awake and Drowsy95816 | 118 | $57 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 78 | $17 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 55 | $92 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 215 | 61 |
| Donepezil Hcl | 172 | 69 |
| Levetiracetam | 170 | 47 |
| Gabapentin | 125 | 44 |
| Memantine Hcl | 80 | 22 |
| Lacosamide | 64 | 14 |
| Lamotrigine | 52 | 12 |
| Duloxetine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,547 across 77 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-04-11
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Frequently asked questions
- What is Michael Theriault's NPI number?
- Michael Theriault's National Provider Identifier (NPI) is 1083078539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Theriault's specialty?
- Michael Theriault is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Theriault located?
- Michael Theriault's practice location on file with NPPES is 21 Industrial Blvd, Paoli, PA 19301-1610.
- What is Michael Theriault's phone number?
- The practice phone number listed in the NPPES registry for Michael Theriault is (610) 647-8000.
- Does Michael Theriault accept Medicare?
- Michael Theriault is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Theriault's NPI active?
- Yes — Michael Theriault's NPI (1083078539) is active in the NPPES registry as of the last update on 2021-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.