Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KELSEY MARIE SIEG O.D.
NPI 1336590116
Optometrist in Richfield, MN

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
817 E 66TH ST, RICHFIELD, MN 55423(612) 488-1566(612) 488-1564 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Jun 6, 2025, May 30, 2025 and 2 more (5 updates tracked since 2016).

About Dr. Kelsey Marie Sieg O.d. NPPES

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

DR. KELSEY MARIE SIEG O.D. (NPI 1336590116) is an individual optometrist in Richfield, Minnesota, licensed in Minnesota (3592) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richfield, and is a graduate of Pennsylvania College Of Optometry (2016).

NPPES Registry Identity

NPI1336590116
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELSEY MARIE SIEGCredential: O.D.
Location Address817 E 66TH STRichfield, MN 55423-2506
Mailing Address817 E 66th StRichfield, MN 55423-2506 · (612) 488-1566 · Fax (612) 488-1564
Fax(612) 488-1564
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2016
Enumeration DateJune 23, 2016
Last NPPES UpdateOctober 12, 20265 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1336590116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MN · 3592✔ Licensed in WA · 60663734
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 60663734 (WA)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 60663734 (WA)
817 E 66TH ST, Richfield, MN 55423

Secondary Practice Location 1

Location 1817 E 66th St Ste BRichfield, MN 55423-2506 · Phone (612) 200-3286 · Fax (612) 200-3285

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelsey Marie Sieg O.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 ID5092067041
PECOS Enrollment IDI20181003000264
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Sieg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
817 E 66TH ST
Richfield, MN 55423
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Wallerich Eye Care LLC
  • 4 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55423 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 4

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

Optometrist
817 E 66TH ST
RICHFIELD, MN 55423
Optometrist
817 E 66TH ST
RICHFIELD, MN 55423
Optometrist
817 E 66TH ST
RICHFIELD, MN 55423
Optometrist (Vision Therapy)
817 E 66TH ST
RICHFIELD, MN 55423

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 Kelsey Sieg's NPI number?

The NPI number for Kelsey Sieg is 1336590116. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Kelsey Sieg located?

Kelsey Sieg practices at 817 E 66th St, Richfield, MN 55423. The listed phone number is (612) 488-1566.

What is Kelsey Sieg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kelsey Sieg enrolled in Medicare?

Yes. Kelsey Sieg 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.

Which organization bills Medicare for Kelsey Sieg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Sieg reassigns Medicare benefits to Wallerich Eye Care LLC Dba Swoop Eye Care (Richfield, MN). The 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 Kelsey Sieg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Sieg accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners list Kelsey Sieg 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 Kelsey Sieg was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.