Individual provider Active NPI

Charles J Siegert, M.D.

  • Surgery Physician
  • Brookline, MA
National Provider Identifier
1811163207
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101248125 Issued in VA
Practice address
50 Park St Apt 35
Brookline, MA 02446-6200
Phone
(617) 935-3532
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101248125 VA Primary

Addresses

Primary practice location

50 Park St Apt 35
Brookline, MA 02446-6200

Mailing address

PSC 482 Box 2608
Fpo, AP 96362-2699
Phone (903) 257-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20170509002917 MA Practitioner - General Surgery 5597050617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Emory University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Cod Surgeons PCGroup PAC ID 7719020478, 4 clinicians

Practice addresses (Care Compare)

210 Jones Rd
Suite 2 5
Falmouth, MA 02540-2974
Phone (508) 540-9771

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

Merit-based Incentive Payment System (MIPS)

Final score
24.13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue11
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101248125VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Falmouth Hospital CurrentSince Jul 1, 2025 Accepting new patients
Cape Cod Surgeons PC Surgery CurrentSince Jul 1, 2017 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Surgery CurrentSince Dec 20, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Dec 20, 2024 Accepting new patients
Falmouth Hospital Association Inc Past Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

210 Jones Rd
Ste 25
Falmouth, MA 02540
Phone (508) 540-1163

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1811163207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 482 BOX 2608",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963622699",
            "telephone_number": "903-257-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PARK ST APT 35",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466200",
            "telephone_number": "617-935-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGERT",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101248125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.