Alicia Thibodeaux, O.D.
NPI 1265885990ActiveIndividual· Optometrist· Gallup, NM
Optometrist (O.D.) in Gallup, New Mexico, trained at University Alabama Birmingham - School of Optometry (class of 2016). In 2024 Medicare paid $12,914 for 168 patients, and Part D covered 179 of their prescriptions, 57% of them generic.
Overview
| NPI | 1265885990 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 18, 2016 |
| Last updated in NPPES | Apr 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 9836847-9934 | UT |
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 - Optometry (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 168 |
|---|---|
| Services billed | 352 across 17 procedure codes |
| Paid by Medicare | $12,914 |
Part D prescriptions in 2024
| Prescriptions (claims) | 179 · 276 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $7,979 |
| Generic share | 57% of claims |
Education and affiliations
| Medical school | University Alabama Birmingham - School of Optometry |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Optometry |
Medical group
- Dhhs,phs,naihs, Gallup Indian Medical CenterGallup, NM · 186 clinicians
Hospital affiliation
- Gallup Indian Medical CenterGallup, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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