Mark Samuel Siegel, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

23932 Issued in SC

Practice address

111 High Tide Dr
Beaufort, SC 29906-5221

Phone

(843) 525-1500

Fax

(843) 525-6107

NPI assigned

Jan 18, 2006

Last updated

Oct 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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 Virginia School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msiegel@seaisland.intellechartdirect.net

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

• Sea Island Ophthalmology

  • Ophthalmology Physician
  • Beaufort, SC
  • NPI 1700943743
  Medicare reassignment NPD Authorized official
• Patrick H. Dennis, Jr.,MD

  • Ophthalmology Physician
  • Charleston, SC
  • NPI 1013987346
  NPD (past)
• Sea Island Ophthalmology

  • Ophthalmology Physician
  • Beaufort, SC
  • NPI 1578655825
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1285614016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIGH TIDE DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065221",
            "telephone_number": "843-525-1500",
            "fax_number": "843-525-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGH TIDE DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065221",
            "telephone_number": "843-525-1500",
            "fax_number": "843-525-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MARK",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "23932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Shinder
• Charles G. Shissias, M.D.
• Marshall Shannon Shook II, MD
• Kristin Shrestha, M.S., CCC-SLP
• Megan Shytle
• Louis C. Sigmund II, DDS
• Rebecca Siira
• Sheila Silon
• Betty Jo Simas
• Debra Simmons

• Ophthalmology Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.