KARL J SIEBERT M.D.
NPI 1205809159
Ophthalmology - Glaucoma Specialist in Grand Rapids, MI

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
88.62/100
CMS Quality Rating
1000 E PARIS AVE SE, SUITE 130, GRAND RAPIDS, MI 49546(616) 949-2001(616) 949-8620 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karl J Siebert M.d. NPPES

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

KARL J SIEBERT M.D. (NPI 1205809159) is an individual glaucoma specialist in Grand Rapids, Michigan, licensed in Michigan (4301073621) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1994).

NPPES Registry Identity

NPI1205809159
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameKARL J SIEBERTCredential: M.D.
Location Address1000 E PARIS AVE SE, SUITE 130Grand Rapids, MI 49546-3680
Mailing Address1000 E Paris Ave Se, Suite 130Grand Rapids, MI 49546-3680 · (616) 949-2001 · Fax (616) 949-8620
Fax(616) 949-8620
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateFebruary 10, 2006
Last NPPES UpdateApril 12, 2017
NPI 1205809159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in MI · 4301073621
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedSpecialistTaxonomy 174400000X · License 4301073621 (MI)
1000 E PARIS AVE SE, Grand Rapids, MI 49546

Other Identifiers 3

Medicare PINN85130002MI
Medicare UPING81418MI
Medicaid104094391MI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karl J Siebert M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810980364
PECOS Enrollment IDI20040408000476
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 13

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
496 services307 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
244 services240 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
211 services93 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
205 services145 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
200 services197 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
100 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.67
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 20

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

Urology
1000 E PARIS AVE SE, SUITE 230
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
1000 E PARIS AVE SE, SUITE 215
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546

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 Karl Siebert's NPI number?

The NPI number for Karl Siebert is 1205809159. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Karl Siebert located?

Karl Siebert practices at 1000 E Paris Ave SE Suite 130, Grand Rapids, MI 49546. The listed phone number is (616) 949-2001.

What is Karl Siebert's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Karl Siebert enrolled in Medicare?

Yes. Karl Siebert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karl Siebert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Karl Siebert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karl Siebert was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.