Michael Edmond Theriault, M.D.
NPI 1083078539ActiveIndividual· Psychiatry & Neurology, Neurology· Paoli, PA
Psychiatry & Neurology, Neurology (M.D.) in Paoli, Pennsylvania, trained at New York Medical College (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $712,258 for 1,736 claims, against $88,393 paid for services in 2024. Ucb, Inc. was the largest of 25 companies reporting payments in 2025, $2,626 in all, mostly food and beverage.
Overview
| NPI | 1083078539 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 11, 2016 |
| Last updated in NPPES | Nov 3, 2021 |
| Certified by provider | Nov 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | MD473446 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 644 |
|---|---|
| Services billed | 1,065 across 20 procedure codes |
| Paid by Medicare | $88,393 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,736 · 3,685 30-day fills |
|---|---|
| Patients | 374 |
| Total drug cost | $712,258 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Neurology |
| Telehealth | Offers telehealth |
Medical groups
- Phoenix Rehabilitation and Health Services IncCranberry Twp, PA · 2,800 clinicians
- Main Line HealthcareWynewood, PA · 1,184 clinicians
Hospital affiliations
- Bryn Mawr HospitalBryn Mawr, PA
- Chester County HospitalWest Chester, PA
- Main Line Hospital LankenauWynnewood, PA
- Paoli HospitalPaoli, PA
- Riddle Memorial HospitalMedia, PA
Other facilities
- Bryn Mawr Rehabilitation HospitalInpatient rehabilitation facility · Malvern, PA
Industry payments (Open Payments)
- 2025$2,626 · 128 payments from 25 companies
- 2024$1,547 · 77 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $440.51 | 19 |
| Abbvie Inc. | $425.39 | 30 |
| Tg Therapeutics, Inc. | $394.27 | 6 |
| Pfizer Inc. | $255.57 | 23 |
| Neurelis, Inc. | $116.93 | 6 |
What the 2025 payments were for
- Food and Beverage$2,626 · 128 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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