Active NPI 1265885990 Individual Practitioner Female Practitioner

Dr. Alicia Thibodeaux , OD

Optometrist • Gallup, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alicia Thibodeaux, OD is a certified Optometrist practicing in Gallup, NM. With approximately 10 years of clinical experience since graduating from University Alabama Birmingham - School Of Optometry in 2016, Dr. Thibodeaux delivers high-quality medical care to the local community at 516 E NIZHONI BLVD.

Dr. Thibodeaux is affiliated with Dhhs,Phs,Naihs, Gallup Indian Medical Center and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

516 E Nizhoni Blvd

Gallup, NM 873015748

Telephone 5057221000

Associated Practice Facility / Clinic

🏢 Gallup Indian Med Center Pharmacy Facility NPI 1538298989

Medicare Profile & Education

Medical School

University Alabama Birmingham - School Of Optometry

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Gallup, NM

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +2.8 yrs vs City Avg

City Avg: 7.2 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

21 Specialists

Practicing in Gallup, NM (350 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thibodeaux (10 Years) 10 Yrs

Gallup Specialty Average (7.2 Years) 7.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	42	$249.00	$93.38
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$200.00	$63.28
92250 Photography of the retina	40	39	$126.00	$19.50
92014 Established patient complete exam of visual system	38	38	$214.00	$71.19
92134 Imaging of retina	33	30	$78.00	$23.22
92250 Photography of the retina	31	30	$126.00	$19.50
92133 Imaging of optic nerve	19	19	$78.00	$20.08
92083 Exam of visual field with extended testing	16	16	$138.00	$25.21
92004 New patient complete exam of visual system	15	15	$272.00	$88.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	27	$248.12	$94.49
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$191.40	$64.07
92014 Established patient complete exam of visual system	27	27	$214.00	$72.80
92250 Photography of the retina	20	19	$126.00	$20.09
92004 New patient complete exam of visual system	20	20	$272.00	$89.89
92134 Imaging of retina	17	16	$78.00	$23.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	23	23	$214.00	$74.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	16	$243.00	$96.12
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$157.00	$65.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	31	$243.00	$98.33
92014 Established patient complete exam of visual system	33	33	$214.00	$75.34
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$157.00	$66.62
92134 Imaging of retina	18	15	$78.00	$24.55
92083 Exam of visual field with extended testing	15	14	$138.00	$26.29
92250 Photography of the retina	13	13	$126.00	$20.62
92004 New patient complete exam of visual system	13	13	$272.00	$93.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$157.00	$51.76
92014 Established patient complete exam of visual system	16	16	$204.30	$78.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$243.00	$79.35
92133 Imaging of optic nerve	11	11	$78.00	$22.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	126	126	$214.00	$78.47
99213 Established patient office or other outpatient visit, typically 15 minutes	114	64	$157.00	$50.70
92014 Established patient complete exam of visual system	53	51	$204.48	$78.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	41	$243.00	$77.63
92133 Imaging of optic nerve	37	34	$78.00	$21.90
92004 New patient complete exam of visual system	34	34	$272.00	$98.13
92134 Imaging of retina	32	28	$78.00	$25.32
92083 Exam of visual field with extended testing	24	23	$138.00	$27.38
92250 Photography of the retina	20	16	$126.00	$21.54
92134 Imaging of retina	14	13	$84.38	$25.29
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$87.00	$20.85
92004 New patient complete exam of visual system	11	11	$272.00	$98.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	106	85	$204.39	$78.54
92014 Established patient complete exam of visual system	87	87	$211.88	$78.61
99213 Established patient office or other outpatient visit, typically 15 minutes	78	58	$157.00	$50.90
92134 Imaging of retina	49	44	$78.00	$25.57
92004 New patient complete exam of visual system	35	35	$267.04	$98.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$239.54	$77.98
92134 Imaging of retina	15	13	$119.71	$25.52
92012 Established patient problem focused exam of visual system	14	14	$165.00	$52.27
92133 Imaging of optic nerve	14	14	$78.00	$22.21
92250 Photography of the retina	12	12	$126.00	$21.49
67820 Removal of eyelashes using forceps	12	11	$194.79	$42.74
92133 Imaging of optic nerve	11	11	$122.69	$22.11
92250 Photography of the retina	11	11	$215.96	$21.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	133	133	$196.45	$78.53
99213 Established patient office or other outpatient visit, typically 15 minutes	110	75	$151.77	$50.26
92014 Established patient complete exam of visual system	50	47	$203.55	$78.40
92134 Imaging of retina	38	34	$78.00	$25.11
92004 New patient complete exam of visual system	34	34	$262.15	$98.12
92250 Photography of the retina	21	21	$117.62	$21.42
92012 Established patient problem focused exam of visual system	16	16	$152.31	$51.94
92133 Imaging of optic nerve	15	15	$78.00	$22.09

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 9836847-9934

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.

Hospital & Practice Group Affiliations

Dhhs,phs,naihs, Gallup Indian Medical Center

516 E Nizhoni Blvd, Gallup, NM 873015748

Phone: 5057221000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Johanna Palmgren

Registered Nurse - Administrator

NPI 1003001314

Sandra Skeets , RN

Registered Nurse - Ambulatory Care

NPI 1003009945

Registered Nurse

Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Sally Kaufman , RN

Registered Nurse

NPI 1003110537

Registered Nurse

Nancy Davis , RN

Registered Nurse

NPI 1003184201

Registered Nurse

Lorraine Cabrillas , RN

Registered Nurse - Emergency

NPI 1003372004

Registered Nurse

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 17, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 17, 2017

Registered at 516 E NIZHONI BLVD, GALLUP, NM 873015748

📍

Updated Practice Location April 17, 2017

Registered at 516 E NIZHONI BLVD, GALLUP, NM 873015748 (Tel: 5057221000)

👤

Provider Name / Credentials Updated April 17, 2017

Recorded as ALICIA THIBODEAUX, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Optometrist (License #9836847-9934 in UT)

✅

NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2016

Registered at 516 E NIZHONI BLVD, GALLUP, NM 873015748 (Tel: 5057221000)

📍

Updated Business Mailing Address August 05, 2016

Registered at 222 E NIZHONI BLVD APT F12, GALLUP, NM 873017125

👤

Provider Name / Credentials Updated August 05, 2016

Recorded as ALICIA THIBODEAUX, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Optometrist (License #9836847-9934 in UT)

🟢

Initial NPI Registration & Enumeration July 18, 2016

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: 1265885990

Entity Type:

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

Enumeration Date: July 18, 2016

Last Update: April 17, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

516 E Nizhoni Blvd

Gallup, NM 873015748

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.