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SCOTT SIEBERG M.D.
NPI 1659362150
Family Medicine in Decatur, IL

Active since November 02, 2005Opted out of Medicare · through Jan 8, 2028
1770 E LAKE SHORE DR, SUITE 203, DECATUR, IL 62521(217) 422-9910 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Scott Sieberg M.d. NPPES

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

SCOTT SIEBERG M.D. (NPI 1659362150) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (36-097845) and active in the NPI registry since November 2005. He has opted out of Medicare through January 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659362150
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT SIEBERGCredential: M.D.
Location Address1770 E LAKE SHORE DR, SUITE 203Decatur, IL 62521-3832
Mailing Address1770 E Lake Shore Dr, Suite 203Decatur, IL 62521-3832
Phone(217) 422-9910
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1659362150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 36-097845
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1770 E LAKE SHORE DR, Decatur, IL 62521
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Scott Sieberg M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2022 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2022
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
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 20

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

ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Urology
1770 E LAKE SHORE DR, SUITE 202
DECATUR, IL 62521
Macon County (217) 464-2505
DR. AHMAD H AHMAD M.D.
Internal Medicine
1770 E LAKE SHORE DR, SUITE 201
DECATUR, IL 62521
Macon County (217) 428-7921
LAUREL A WALTON DO SC
Obstetrics & Gynecology
1770 E LAKE SHORE DR, STE 309
DECATUR, IL 62521
Macon County (217) 422-9740
DEBRA G. CHARVERON LCPC
Counselor (Professional)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 429-9700
AZHAR ASLAM MD LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1770 E LAKE SHORE DR, SUITE 103
DECATUR, IL 62521
Macon County (217) 422-9036
MS. KAREN L HAMMOND MSW LCSW
Social Worker (Clinical)
1770 E LAKE SHORE DR, SUITE 209
DACATUR, IL 62521
Macon County (217) 428-0600
DECATUR PEDIATRIC CLINIC
Pediatrics
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 423-8800
DECATUR HEALTHCARE LLC
Clinic/Center (Ambulatory Surgical)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 424-1021

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 Scott Sieberg's NPI number?

The NPI number for Scott Sieberg is 1659362150. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Scott Sieberg located?

Scott Sieberg practices at 1770 E Lake Shore Dr Suite 203, Decatur, IL 62521. The listed phone number is (217) 422-9910.

What is Scott Sieberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Sieberg enrolled in Medicare?

No. Scott Sieberg has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Scott Sieberg was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.