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MR. DREW SIEBENMORGEN PA-C
NPI 1093161069
Physician Assistant in Little Rock, AR

Active since May 10, 2016PECOS Enrolled
5500 W 12TH ST, LITTLE ROCK, AR 72204(501) 435-1402(501) 232-4210 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Jul 14, 2016, May 10, 2016 (3 updates tracked since 2016).

About Mr. Drew Siebenmorgen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DREW SIEBENMORGEN PA-C (NPI 1093161069) is an individual physician assistant in Little Rock, Arkansas, licensed in Arkansas (PA-669) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093161069
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DREW SIEBENMORGENCredential: PA-C
Location Address5500 W 12TH STLittle Rock, AR 72204-1716
Mailing AddressPo Box 746873Atlanta, GA 30374-6873
Phone(501) 435-1402
Fax(501) 232-4210
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 10, 2016
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1093161069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AR · PA-669
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5500 W 12TH ST, Little Rock, AR 72204
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Secondary Practice Location 1

Location 11300 Braden StJacksonville, AR 72076-3719 · Phone (501) 985-5934

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Drew Siebenmorgen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426341512
PECOS Enrollment IDI20160727001178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
126 services56 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
44 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims27 services$5.63 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each A4408
DME-Orthotic Devices · category DF010N
1 supplier12 claims190 services$8.94 avg. paid by Medicare
Ostomy pouch, closed; without barrier attached, with filter (1 piece), each A4418
DME-Orthotic Devices · category DF010N
1 supplier11 claims660 services$1.59 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$25.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$58.42 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers15 claims15 services$24.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OAK STREET HEALTH PHYSICIANS GROUP OF ARKANSAS PLLC
Clinic/Center (Primary Care)
5500 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 435-1402
VINCENT TYRONE MORGAN APRN
Nurse Practitioner (Adult Health)
5500 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 435-1402
DR. LOUIS JESSE PATRICK BELL III DO
Family Medicine
5500 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 435-1402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Drew Siebenmorgen's NPI number?

The NPI number for Drew Siebenmorgen is 1093161069. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Drew Siebenmorgen located?

Drew Siebenmorgen practices at 5500 W 12th St, Little Rock, AR 72204. The listed phone number is (501) 435-1402.

What is Drew Siebenmorgen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Drew Siebenmorgen enrolled in Medicare?

Yes. Drew Siebenmorgen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Drew Siebenmorgen was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.