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DR. THERESE MARIE LUCIETTO-SIERADZKI M.D.
NPI 1699708636
Family Medicine in Belvidere, IL

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
205 CADILLAC CT STE 7, BELVIDERE, IL 61008(815) 544-0087(815) 544-0088 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Therese Marie Lucietto-sieradzki M.d. NPPES

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

DR. THERESE MARIE LUCIETTO-SIERADZKI M.D. (NPI 1699708636) is an individual family medicine provider in Belvidere, Illinois, licensed in Illinois (036102862) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Northwestern University Feinberg Medical School (1998).

NPPES Registry Identity

NPI1699708636
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THERESE MARIE LUCIETTO-SIERADZKICredential: M.D.
Location Address205 CADILLAC CT STE 7Belvidere, IL 61008-1733
Mailing AddressPo Box 298Belvidere, IL 61008-0298 · (815) 544-0087 · Fax (815) 544-0088
Phone(815) 544-0087
Fax(815) 544-0088
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1998
Enumeration DateJuly 9, 2006
Last NPPES UpdateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1699708636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036102862
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.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 036102862 (IL)
205 CADILLAC CT STE 7, Belvidere, IL 61008
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Other Identifiers 4

Other07132017IL · Blue Cross Blue Shield Id
Other201772810001IL · Medicaid Rural Health Id
Medicaid036102862IL
Other148976IL · Medicare-riverbend Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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. Therese Marie Lucietto-sieradzki 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 ID5395706774
PECOS Enrollment IDI20041019001296, I20140909002691
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61008 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims62 services$2.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.11 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier18 claims1,080 services$6.61 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
1 supplier20 claims105,000 services$0.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers23 claims23 services$26.14 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 2

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

SARAH LYONS APN
Nurse Practitioner (Family)
205 CADILLAC CT STE 7
BELVIDERE, IL 61008
Boone County (815) 544-0087
YOUR FAMILY DOCTOR, LLC
Family Medicine
205 CADILLAC CT STE 7
BELVIDERE, IL 61008
Boone County (815) 544-0087

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 Therese Lucietto-sieradzki's NPI number?

The NPI number for Therese Lucietto-sieradzki is 1699708636. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Therese Lucietto-sieradzki located?

Therese Lucietto-sieradzki practices at 205 Cadillac Ct Ste 7, Belvidere, IL 61008. The listed phone number is (815) 544-0087.

What is Therese Lucietto-sieradzki's specialty?

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

Is Therese Lucietto-sieradzki enrolled in Medicare?

Yes. Therese Lucietto-sieradzki 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 Therese Lucietto-sieradzki accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Group Health Cooperative-SCW and Quartz list Therese Lucietto-sieradzki 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 Therese Lucietto-sieradzki affiliated with any hospitals?

According to CMS data, Therese Lucietto-sieradzki is affiliated with Saint Anthony Medical Center and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Therese Lucietto-sieradzki was last updated on June 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.