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Active NPI 1912471665 Individual Practitioner Female Practitioner

Abby Jo Tibodeau , RD, LD

Dietitian, Registered • Mankato, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Abby Tibodeau, RD, LD is a certified Dietitian, Registered practicing in Mankato, MN. With approximately 16 years of clinical experience since completing medical education in 2010, Abby Tibodeau delivers high-quality medical care to the local community at 1230 E MAIN ST.

Abby Tibodeau is affiliated with Surely Health Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each, diabetes outpatient self-management training services, individual, per, therapy procedure reassessment for nutrition management, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1230 E Main St

Mankato, MN 560015066

Telephone 5076251811
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Mankato, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +2.6 yrs vs City Avg
City Avg: 13.4 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
26 Specialists

Practicing in Mankato, MN (1611 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tibodeau (16 Years) 16 Yrs
Mankato Specialty Average (13.4 Years) 13.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
198 52 $111.30 $31.61
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
128 67 $165.90 $55.35
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
63 23 $96.60 $26.30

Medical Specialties & State Licenses

CMS Verified: 2020-07-22
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 3033

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Hospital & Practice Group Affiliations

Surely Health Inc

101 Glen Lennox Dr, Chapel Hill, NC 275174089

Phone: 8888074117

Surely Health Inc

3480 Preston Ridge Rd, Alpharetta, GA 300055460

Phone: 4122874983

Surely Health Inc

6565 N Macarthur Blvd, Irving, TX 750392482

Phone: 8888074117

Practice Associates & Co-Workers

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

40 Associated Practitioners
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NPI 1003895095

Doctor of Medicine (M.D.)

NPI 1013008366

Doctor of Medicine (M.D.)

Dr. Ignacio Jusue Torres , MD

Neurological Surgery

NPI 1013393305

Doctor of Medicine (M.D.)

Katlyn Christenson , MA, LMFT

Marriage & Family Therapist

NPI 1013804814

Master of Arts, Licensed Marriage and Family Therapist

NPI 1013995034

Doctor of Medicine (M.D.)

Dr. Michael Rath , MD

Family Medicine

NPI 1013996008

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2019

Registered at 1230 E MAIN ST, MANKATO, MN 560015066 (Tel: 5076251811)

📍
Updated Business Mailing Address January 16, 2019

Registered at 120 MALLARD CT, MANKATO, MN 560011860 (Tel: 5073277993)

👤
Provider Name / Credentials Updated January 16, 2019

Recorded as ABBY TIBODEAU, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2019

Dietitian, Registered (License #3033 in MN)

🟢
Initial NPI Registration & Enumeration January 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912471665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2019
Last Update: July 22, 2020
Sole Proprietor: No

Mailing Address

120 Mallard Ct

Mankato, MN 560011860

Phone: 5073277993

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.