DR. CARLOS RAFAEL SIERRA-RODRIGUEZ M.D.
NPI 1700865268
Obstetrics & Gynecology in Mattoon, IL

Q: What is Carlos Sierra-rodriguez's NPI number?

The NPI number for Carlos Sierra-rodriguez is 1700865268. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Carlos Sierra-rodriguez's specialty?

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

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment

1000 HEALTH CENTER DR STE 201, MATTOON, IL 61938(217) 258-4030(217) 258-2353 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2022, Oct 8, 2019, Feb 13, 2017 (3 updates tracked since 2017).

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About Dr. Carlos Rafael Sierra-rodriguez M.d. NPPES

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

DR. CARLOS RAFAEL SIERRA-RODRIGUEZ M.D. (NPI 1700865268) is an individual obstetrics & gynecology provider in Mattoon, Illinois, licensed in Illinois (036139426) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1700865268

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. CARLOS RAFAEL SIERRA-RODRIGUEZCredential: M.D.

Location Address1000 HEALTH CENTER DR STE 201Mattoon, IL 61938-4639

Mailing AddressPo Box 372Mattoon, IL 61938-0372

Phone(217) 258-4030

Fax(217) 258-2353

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateJanuary 12, 2006

Last NPPES UpdateDecember 27, 20233 updates tracked since enumeration

NPPES CertifiedDecember 27, 2023

✔ NPI 1700865268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036139426

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.

1000 HEALTH CENTER DR STE 201, Mattoon, IL 61938

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.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. Carlos Rafael Sierra-rodriguez 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 ID7618944588

PECOS Enrollment IDI20170316001222

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

Medicare enrollment records show Carlos Sierra-rodriguez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sarah Bush Lincoln Health Center

Same address

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

Physician Services Corporation Of Southern Illinois Inc.

88 mi

Internal Medicine

4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
296 clinicians in this Medicare group

NPI 1831101807 (618) 899-3600

Heartland Women's Healthcare Ltd

113 mi

Clinical Medical Laboratory

6 PARK PL
Swansea, IL 62226

Reassigned Medicare billing, Illinois enrollment
52 clinicians in this Medicare group

NPI 1043852932 (618) 997-5266

Obhg Illinois Sc

164 mi

Obstetrics & Gynecology

3249 OAK PARK AVE
Berwyn, IL 60402

Reassigned Medicare billing, Illinois enrollment
219 clinicians in this Medicare group

NPI 1700107216 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

20 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 7

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

RICK MILLER D.O.

Obstetrics & Gynecology