DR. EFFIE E. SIOMOS M.D.
NPI 1376589572
Obstetrics & Gynecology in Berlin, WI

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
225 MEMORIAL DR STE 2030, BERLIN, WI 54923(920) 729-7105 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2022, Apr 4, 2022 (2 updates tracked since 2022).

About Dr. Effie E. Siomos M.d. NPPES

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

DR. EFFIE E. SIOMOS M.D. (NPI 1376589572) is an individual obstetrics & gynecology provider in Berlin, Wisconsin, licensed in Wisconsin (51386-20) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of University Of Wisconsin School Of Medicine (2006).

NPPES Registry Identity

NPI1376589572
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. EFFIE E. SIOMOSCredential: M.D.
Location Address225 MEMORIAL DR STE 2030Berlin, WI 54923-1243
Mailing Address3232 N Ballard Rd Ste 100Appleton, WI 54911-8804 · (920) 729-7105
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2006
Enumeration DateJune 22, 2006
Last NPPES UpdateApril 27, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1376589572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 51386-20
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
225 MEMORIAL DR STE 2030, Berlin, WI 54923

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. Effie E. Siomos 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 ID547394322
PECOS Enrollment IDI20100816000475
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 Reassignments

3

Medicare enrollment records show Effie Siomos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
500 S OAKWOOD RD
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
Obstetrics & Gynecology
200 THEDA CLARK MEDICAL PLZ STE 130
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Womens Care Of Wisconsin Sc
  • 30 clinicians in this Medicare group
Obstetrics & Gynecology
130 2ND ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 15 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521355
Location225 Memorial DriveBerlin, WI 54923 · Green Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54923 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Effie Siomos's NPI number?

The NPI number for Effie Siomos is 1376589572. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Effie Siomos located?

Effie Siomos practices at 225 Memorial Dr Ste 2030, Berlin, WI 54923. The listed phone number is (920) 729-7105.

What is Effie Siomos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Effie Siomos enrolled in Medicare?

Yes. Effie Siomos 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 organizations bill Medicare for Effie Siomos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Effie Siomos reassigns Medicare benefits to 3 organizations: Ascension NE Wisconsin, Inc (Oshkosh, WI), Women's Care Of Wisconsin S.C. (Neenah, WI) and Theda Clark Ob Hospitalists Sc (Neenah, WI). Each 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 Effie Siomos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Effie Siomos accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Effie Siomos 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.

Is Effie Siomos affiliated with any hospitals?

According to CMS data, Effie Siomos is affiliated with Thedacare Regional Medical Center - Appleton Inc and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Effie Siomos was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.