Maxine Theriot, MD
NPI 1194874628 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Poplar Bluff, MO
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maxine Theriot, MD is a Undersea and Hyperbaric Medicine (Preventive Medicine) Physician provider in Poplar Bluff, MO (NPI 1194874628).
Provider details
- NPI number
- 1194874628
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- J9578 (TX)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense 2022047286 (MO)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,010 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 591 | $60 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 564 | $54 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less11045 | 387 | $24 |
| Removal of Tissue From Wound, 20.0 Sq Cm Or Less97597 | 112 | $33 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 77 | $91 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 73 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 108 | 66 |
| Clindamycin Hcl | 36 | 23 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 33 | 27 |
| Clotrimazole/Betamethasone Dipbrand: Clotrimazole-Betamethasone | 31 | 23 |
| Cefdinir | 29 | 14 |
| Gentamicin Sulfate | 25 | 20 |
| Metronidazole | 25 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$137 across 5 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
Additional practice locations (1)
- 1650 W College StGrapevine, TX 76051-3565Phone: (972) 816-0459
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Frequently asked questions
- What is Maxine Theriot's NPI number?
- Maxine Theriot's National Provider Identifier (NPI) is 1194874628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maxine Theriot's specialty?
- Maxine Theriot is listed in the NPPES registry with a primary specialty of Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Maxine Theriot located?
- Maxine Theriot's practice location on file with NPPES is 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938.
- What is Maxine Theriot's phone number?
- The practice phone number listed in the NPPES registry for Maxine Theriot is (573) 686-8199.
- Does Maxine Theriot accept Medicare?
- Maxine Theriot is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maxine Theriot's NPI active?
- Yes — Maxine Theriot's NPI (1194874628) is active in the NPPES registry as of the last update on 2023-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.