DR. PHILIP EDWARD SIEFKEN M.D.
NPI 1689629107
Pediatrics in Greenville, IL

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1000 RED BALL TRL, GREENVILLE, IL 62246(618) 664-1240(618) 690-2189 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip Edward Siefken M.d. NPPES

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

DR. PHILIP EDWARD SIEFKEN M.D. (NPI 1689629107) is an individual pediatrics provider in Greenville, Illinois, licensed in Illinois (036088335) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1990).

NPPES Registry Identity

NPI1689629107
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PHILIP EDWARD SIEFKENCredential: M.D.
Location Address1000 RED BALL TRLGreenville, IL 62246-2781
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Fax(618) 690-2189
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1990
Enumeration DateMay 23, 2006
Last NPPES UpdateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
NPI 1689629107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036088335
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036088335 (IL)
Also ListedInternal MedicineTaxonomy 207R00000X · License 036088335 (IL)
1000 RED BALL TRL, Greenville, IL 62246

Other Identifiers 1

Other193400000XIL · Taxonomyncode

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip Edward Siefken 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 ID3870596034
PECOS Enrollment IDI20060809000182
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.

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62246 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers33 claims81 services$6.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers23 claims30 services$1.14 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,080 services$1.58 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
1000 RED BALL TRL
GREENVILLE, IL 62246
Clinic/Center (Rural Health)
1000 RED BALL TRL
GREENVILLE, IL 62246
Family Medicine
1000 RED BALL TRL
GREENVILLE, IL 62246
Physician Assistant
1000 RED BALL TRL
GREENVILLE, IL 62246
Clinic/Center (Rural Health)
1000 RED BALL TRL
GREENVILLE, IL 62246
Nurse Practitioner
1000 RED BALL TRL
GREENVILLE, IL 62246

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 Philip Siefken's NPI number?

The NPI number for Philip Siefken is 1689629107. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Philip Siefken located?

Philip Siefken practices at 1000 Red Ball Trl, Greenville, IL 62246. The listed phone number is (618) 664-1240.

What is Philip Siefken's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Philip Siefken enrolled in Medicare?

Yes. Philip Siefken 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.

What insurance does Philip Siefken accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Philip Siefken 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 Philip Siefken affiliated with any hospitals?

According to CMS data, Philip Siefken is affiliated with Hshs Holy Family Hospital Inc, Sarah Bush Lincoln Health Center, Anderson Hospital, St Joseph's Hospital and Fayette County Hospital.

When was this NPI record last updated?

The NPPES record for Philip Siefken was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.