EARLENE C. SIEBOLD M.D.P.C,
NPI 1215312160
Ophthalmology in Rochester, NY

Active since July 21, 2015
880 WESTFALL RD, SUITE A, ROCHESTER, NY 14618(585) 244-5630(585) 487-8250 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Earlene C. Siebold M.d.p.c, NPPES

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

EARLENE C. SIEBOLD M.D.P.C, (NPI 1215312160) is a healthcare organization registered as an ophthalmology in Rochester, New York and active in the NPI registry since July 2015. The organization lists Earlene C Siebold, Physician, as its authorized official.

NPPES Registry Identity

NPI1215312160
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEARLENE C. SIEBOLD M.D.P.C,
Location Address880 WESTFALL RD, SUITE ARochester, NY 14618-2611
Mailing Address880 Westfall Rd Ste ARochester, NY 14618-2611 · (585) 244-5630
Fax(585) 487-8250
Organization SubpartNo
Authorized OfficialEarlene C SieboldPhysician · (585) 244-5630
Enumeration DateJuly 21, 2015
Last NPPES UpdateJune 28, 2024
NPPES CertifiedJune 28, 2024
✔ NPI 1215312160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 156287
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
880 WESTFALL RD, Rochester, NY 14618

Other Identifiers 3

Other1045398NY · Caqh
Medicaid01093163NY
OtherBB8505Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Earlene C. Siebold M.d.p.c, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Earlene C. Siebold M.D.P.C,, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1134101157
880 WESTFALL RD SUITE A
Rochester, NY 14618
(585) 244-5630
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1710934252
601 ELMWOOD AVE
Rochester, NY 14642
(585) 273-3937
✔ PECOS✔ Accepts Medicare1.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Earlene C. Siebold M.D.P.C,'s NPI number?

The NPI number for Earlene C. Siebold M.D.P.C, is 1215312160. It was assigned to this organization in the NPPES registry on July 21, 2015.

Where is Earlene C. Siebold M.D.P.C, located?

Earlene C. Siebold M.D.P.C, is located at 880 Westfall Rd Suite A, Rochester, NY 14618. The listed phone number is (585) 244-5630.

What is Earlene C. Siebold M.D.P.C,'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Earlene C. Siebold M.D.P.C, enrolled in Medicare?

Yes. Earlene C. Siebold M.D.P.C, is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Earlene C. Siebold M.D.P.C,?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Earlene C. Siebold M.D.P.C,, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Earlene C. Siebold M.D.P.C, was last updated on June 28, 2024. 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.