STEPHEN J SIEGEL MD
NPI 1376570168
Family Medicine in Cromwell, CT
About Stephen J Siegel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN J SIEGEL MD (NPI 1376570168) is an individual family medicine provider in Cromwell, Connecticut, licensed in Connecticut (039774) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Stephen J Siegel Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Stephen Siegel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 147 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephen Siegel's NPI number?
The NPI number for Stephen Siegel is 1376570168. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Stephen Siegel located?
Stephen Siegel practices at 70 Shunpike Rd, Cromwell, CT 06416. The listed phone number is (860) 358-5280.
What is Stephen Siegel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stephen Siegel enrolled in Medicare?
Yes. Stephen Siegel 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 Stephen Siegel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Siegel reassigns Medicare benefits to Mhs Primary Care Inc. (Middletown, CT). 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 Stephen Siegel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Siegel accept?
Health plans from Anthem Blue Cross and Blue Shield list Stephen Siegel 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 Stephen Siegel was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Stephen J Siegel, MD · NPI 1376570168
Family Medicine physician in Cromwell, Connecticut. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1376570168 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 039774 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 70 SHUNPIKE RD, Cromwell, CT 06416
- **Phone:** (860) 358-5280 · **Fax:** (860) 358-8650
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mhs Primary Care Inc. (NPI 1740666312, Middletown, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Warren Alpert Medical School Of Brown University, class of 1995
## Record status
- **NPPES last updated:** November 5, 2025
- **Other identifiers:** Medicaid 1397745 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1376570168) · Data from the CMS NPPES public registry.