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MARK SIEGEL MD
NPI 1700861598
Internal Medicine - Pulmonary Disease in New Haven, CT

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
789 HOWARD AVE, FITKIN BUILDING, 2ND FLOOR, NEW HAVEN, CT 06519(203) 785-4198(203) 737-5453 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark Siegel Md NPPES

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

MARK SIEGEL MD (NPI 1700861598) is an individual pulmonary disease provider in New Haven, Connecticut, licensed in Connecticut (033081) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1998).

NPPES Registry Identity

NPI1700861598
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMARK SIEGELCredential: MD
Location Address789 HOWARD AVE, FITKIN BUILDING, 2ND FLOORNew Haven, CT 06519-1304
Mailing Address789 Howard Ave, Fitkin Building, 2nd FloorNew Haven, CT 06519-1304 · (203) 785-4198 · Fax (203) 737-5453
Phone(203) 785-4198
Fax(203) 737-5453
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1998
Enumeration DateDecember 14, 2005
Last NPPES UpdateApril 5, 2011
✔ NPI 1700861598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CT · 033081
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 033081 (CT)
789 HOWARD AVE, New Haven, CT 06519
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Other Identifiers 4

Medicare ID-Type Unspecified81000001CT
Medicare UPINF97014
Medicaid001330810CT
Medicare ID-Type Unspecified110005759CT

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

Mark 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.

PECOS PAC ID1254404189
PECOS Enrollment IDI20080728000063
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 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.
24 services17 patients
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.
17 services15 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
13 services11 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.71 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers36 claims36 services$4.66 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
2 suppliers40 claims40 services$64.34 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.57 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 20

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

CYRUS R KAPADIA MD
Internal Medicine (Gastroenterology)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-4138
PEDRO JOSE GONZALEZ JIMENEZ
Pediatrics (Pediatric Emergency Medicine)
789 HOWARD AVE, YNHH PEDIATRICS
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-5555
DR. AMIT N VORA MD
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-7960
DEVIKA KIR MD
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE, YNHH,
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-5555
LOUISE MARIE DEMBRY MD
Internal Medicine (Infectious Disease)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-4629
PRIYANKA DEB M.D.
Radiology (Diagnostic Radiology)
789 HOWARD AVE, TOMPKINS EAST BUILDING ROOM 2-230
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2385
MRS. KATHLEEN O'CONNOR FRAME ANP-C, WHNP-BC, APRN
Nurse Practitioner (Adult Health)
789 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-5555
VIDHI PATEL
Pharmacist
789 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (888) 461-0106

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 Mark Siegel's NPI number?

The NPI number for Mark Siegel is 1700861598. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Mark Siegel located?

Mark Siegel practices at 789 Howard Ave Fitkin Building, 2nd Floor, New Haven, CT 06519. The listed phone number is (203) 785-4198.

What is Mark Siegel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Siegel enrolled in Medicare?

Yes. Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Siegel was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.