Earlene Catherine Siebold, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1562872 Issued in NY

Practice address

880 Westfall Rd
Suite a
Rochester, NY 14618-2611

Phone

(585) 244-5630

Fax

(585) 434-4915

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Rochester School of Medicine and Dentistry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Earlene C. Siebold M.D.P.C.,Group PAC ID 3971812124, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.66 of 100Reported as group

Quality

77.32

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drsiebold@earlenecsiebold.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Earlene C. Siebold M.D.P.C,

  • Ophthalmology Physician
  • Rochester, NY
  • NPI 1215312160
  Medicare reassignment Care Compare group NPD Authorized official
• Rochester General Hospital

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712
  Medicare reassignment NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1255360517
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1134101157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 WESTFALL RD STE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182611",
            "telephone_number": "585-244-5630",
            "fax_number": "585-434-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 WESTFALL RD",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182611",
            "telephone_number": "585-244-5630",
            "fax_number": "585-434-4915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 East Ridge Road",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14621",
            "country_code": "US",
            "telephone_number": "585-922-4315",
            "fax_number": "585-922-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEBOLD",
        "first_name": "EARLENE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1562872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01093163",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Sidorenko
• Stacy Sidoti
• Jennifer Sieber, NP
• Gabrielle Elizabeth Siebert-Capone, MD
• Danielle M Siebert, PT
• David M Siegel, MD
• Rachel Siegel
• Sarah Siegfried, NP
• Martin Siegrist, PA
• Stephanie E Siegrist, MD

• Ophthalmology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.