Maxine A. Theriot, MD
NPI 1194874628ActiveIndividual· Preventive Medicine, Undersea and Hyperbaric Medicine· Poplar Bluff, MO
Preventive Medicine, Undersea and Hyperbaric Medicine (MD) in Poplar Bluff, Missouri, trained at Loma Linda University School of Medicine (class of 1994). 219 Medicare patients in 2024, $121,089 paid; nearly all of their 461 Part D prescriptions were generic (94%). Convatec Inc. reported $60.82 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1194874628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 10, 2007 |
| Last updated in NPPES | Jul 13, 2023 |
| Certified by provider | Jul 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preventive Medicine, Undersea and Hyperbaric Medicine Primary | 2083P0011X | 2022047286 | MO |
| Family Medicine | 207Q00000X | J9578 | TX |
| Preventive Medicine, Undersea and Hyperbaric Medicine | 2083P0011X | J9578 | TX |
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 - Family Practice (MO); Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 219 |
|---|---|
| Services billed | 2,605 across 37 procedure codes |
| Paid by Medicare | $121,089 |
Part D prescriptions in 2024
| Prescriptions (claims) | 461 · 469 30-day fills |
|---|---|
| Patients | 155 |
| Total drug cost | $122,791 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Family Practice |
| Secondary specialties | Undersea And Hyperbaric Medicine |
Medical group
- Poplar Bluff Hma Physician Management, LLCPoplar Bluff, MO · 43 clinicians
Hospital affiliations
- Mercy Hospital StoddardDexter, MO
- Missouri Delta Medical CenterSikeston, MO
- Northwestern Medicine Central Dupage HospitalWinfield, IL
- Poplar Bluff Regional Medical CenterPoplar Bluff, MO
- Saint Francis Medical CenterCape Girardeau, MO
Other facilities
- Comfort Care Home Health Agency, IncHome health agency · Doniphan, MO
- Elara CaringHome health agency · Dexter, MO
- Ozark Home HealthcareHome health agency · Poplar Bluff, MO
Industry payments (Open Payments)
- 2025$60.82 · 2 payments from 1 company
- 2024$137.35 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Convatec Inc. | $60.82 | 2 |
What the 2025 payments were for
- Food and Beverage$60.82 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records