Active NPI 1174695100 Individual Practitioner Male Practitioner

Dr. Seth Alan Thibault , OD

Optometrist • Pratt, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Seth Thibault, OD is a certified Optometrist practicing in Pratt, KS. With approximately 22 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 2004, Dr. Thibault delivers high-quality medical care to the local community at 216 S OAK ST.

Dr. Thibault is affiliated with Maydew Thibault Optometry Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

216 S Oak St

Pratt, KS 671242721

Telephone 6206725934

Fax 6206723550

Associated Practice Facility / Clinic

🏢 Maydew Thibault Optometry Llc Facility NPI 1740343276

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pratt, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -5.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Pratt, KS (751 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thibault (22 Years) 22 Yrs

Pratt Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	479	475	$153.18	$119.51
99213 Established patient office or other outpatient visit, typically 15 minutes	335	178	$118.70	$86.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	132	$145.83	$122.04
66984 Removal of cataract with insertion of lens	118	88	$349.15	$93.92
92133 Imaging of optic nerve	97	87	$146.91	$33.34
92134 Imaging of retina	96	86	$148.44	$37.82
92083 Exam of visual field with extended testing	68	65	$130.00	$59.59
92004 New patient complete exam of visual system	58	58	$191.22	$141.53
92012 Established patient problem focused exam of visual system	23	23	$118.26	$84.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$230.00	$158.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	573	570	$140.00	$119.40
99213 Established patient office or other outpatient visit, typically 15 minutes	237	145	$105.00	$85.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	80	$130.00	$120.84
92134 Imaging of retina	110	90	$134.32	$33.22
66984 Removal of cataract with insertion of lens	103	69	$313.34	$82.97
92133 Imaging of optic nerve	81	75	$150.00	$33.91
92004 New patient complete exam of visual system	65	65	$187.00	$141.88
92083 Exam of visual field with extended testing	51	50	$127.45	$57.44
92250 Photography of the retina	31	25	$75.16	$18.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	521	511	$139.50	$118.87
99213 Established patient office or other outpatient visit, typically 15 minutes	190	135	$105.00	$85.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	103	$130.00	$120.90
92134 Imaging of retina	118	94	$132.46	$32.58
92004 New patient complete exam of visual system	117	117	$186.23	$141.85
66984 Removal of cataract with insertion of lens	108	71	$344.91	$91.86
92133 Imaging of optic nerve	107	92	$146.36	$32.38
92083 Exam of visual field with extended testing	54	52	$127.59	$56.37
92250 Photography of the retina	38	27	$73.37	$16.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	534	530	$134.00	$120.03
99213 Established patient office or other outpatient visit, typically 15 minutes	167	119	$105.00	$86.56
92134 Imaging of retina	87	61	$106.55	$24.21
92250 Photography of the retina	80	47	$75.60	$20.21
92004 New patient complete exam of visual system	75	75	$177.00	$143.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	65	$130.00	$123.09
92133 Imaging of optic nerve	69	63	$146.30	$33.52
66984 Removal of cataract with insertion of lens	51	40	$359.51	$94.82
92083 Exam of visual field with extended testing	40	38	$130.00	$59.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	467	462	$134.00	$120.97
99213 Established patient office or other outpatient visit, typically 15 minutes	174	111	$105.00	$71.81
92250 Photography of the retina	94	68	$84.98	$31.66
92134 Imaging of retina	63	46	$94.05	$20.80
92004 New patient complete exam of visual system	63	63	$177.00	$144.94
92133 Imaging of optic nerve	50	48	$144.90	$33.89
66984 Removal of cataract with insertion of lens	36	26	$360.34	$100.44
92083 Exam of visual field with extended testing	36	34	$126.39	$58.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$130.00	$104.64
92012 Established patient problem focused exam of visual system	12	12	$105.00	$84.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	493	485	$134.00	$120.29
99213 Established patient office or other outpatient visit, typically 15 minutes	189	121	$105.00	$70.21
92250 Photography of the retina	102	73	$85.88	$35.47
92134 Imaging of retina	95	67	$86.84	$18.04
92004 New patient complete exam of visual system	94	94	$177.00	$144.63
66984 Removal of cataract with insertion of lens	66	44	$363.09	$114.65
92133 Imaging of optic nerve	59	52	$137.29	$31.48
92083 Exam of visual field with extended testing	49	42	$121.63	$56.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$59.00	$42.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$130.00	$103.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	500	495	$134.00	$118.73
99213 Established patient office or other outpatient visit, typically 15 minutes	215	142	$105.00	$68.57
92004 New patient complete exam of visual system	78	78	$177.00	$143.24
66984 Removal of cataract with insertion of lens	74	54	$356.88	$113.48
92250 Photography of the retina	69	52	$86.20	$39.53
92134 Imaging of retina	56	47	$96.07	$19.94
92133 Imaging of optic nerve	45	40	$140.00	$32.38
92083 Exam of visual field with extended testing	41	38	$123.66	$57.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	33	$59.00	$41.17
92012 Established patient problem focused exam of visual system	17	17	$105.00	$82.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$130.00	$102.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	541	535	$134.00	$112.14
99213 Established patient office or other outpatient visit, typically 15 minutes	199	129	$105.00	$66.38
92250 Photography of the retina	84	47	$76.07	$42.80
92004 New patient complete exam of visual system	77	77	$177.00	$135.51
66984 Removal of cataract with insertion of lens	63	47	$359.85	$110.29
92134 Imaging of retina	54	39	$75.83	$14.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$59.00	$39.30
92083 Exam of visual field with extended testing	38	34	$116.32	$51.79
92133 Imaging of optic nerve	36	30	$123.33	$27.57
66982 Complex removal of cataract with insertion of prosthetic lens	25	20	$347.39	$131.70
92012 Established patient problem focused exam of visual system	14	14	$105.00	$77.25

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KS 1696

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200266640A (KS)

Commercial Insurance / Payer ID Railroad Medicare

P00152892

Hospital & Practice Group Affiliations

Maydew Thibault Optometry Llc

216 S Oak St, Pratt, KS 671242721

Phone: 6206725934

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Troy Maydew , OD

Optometrist

NPI 1144396458

Doctor of Optometry

Dr. Phil Farmer , OD

Optometrist

NPI 1184796112

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 11, 2012

Registered at 216 S OAK ST, PRATT, KS 671242721 (Tel: 6206725934)

📍

Updated Business Mailing Address June 11, 2012

Registered at PO BOX 1024, PRATT, KS 671241024 (Tel: 6206725934)

👤

Provider Name / Credentials Updated June 11, 2012

Recorded as SETH THIBAULT, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2012

Optometrist (License #1696 in KS)

🟢

Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Seth Thibault. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174695100

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 14, 2006

Last Update: June 11, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1024

Pratt, KS 671241024

Phone: 6206725934

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.