Diane M. Thiboutot, MD
NPI 1104889831ActiveIndividual· Dermatology· Hershey, PA
Dermatology (MD) in Hershey, Pennsylvania, trained at Pennsylvania State University College of Medicine (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $388,356 for 300 claims, against $3,464 paid for services in 2024.
Overview
| NPI | 1104889831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 12, 2006 |
| Last updated in NPPES | Dec 19, 2019 |
| Certified by provider | Dec 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | MD043565L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 92 across 12 procedure codes |
| Paid by Medicare | $3,464 |
Part D prescriptions in 2024
| Prescriptions (claims) | 300 · 411 30-day fills |
|---|---|
| Patients | 98 |
| Total drug cost | $388,356 |
| Generic share | 75% of claims |
Education and affiliations
| Medical school | Pennsylvania State University College of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Dermatology |
Medical group
- The Milton S Hershey Medical Center Physicians GroupHershey, PA · 1,623 clinicians
Hospital affiliation
- Milton S Hershey Medical CenterHershey, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other dermatologists in Hershey
- 1043674237
- 1093779340
- 1316267578
- 1326002536
- 1386938694
- 1437444288
- 1437532561
- 1710197066
- 1821158767
- 1942264155
- 1942763370
- 1093455925
All 26 dermatologists in Hershey · All dermatologists in Pennsylvania