MARY BETH VAN SICLEN M.D.
NPI 1730590860
Family Medicine in Durham, CT
About Mary Beth Van Siclen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY BETH VAN SICLEN M.D. (NPI 1730590860) is an individual family medicine provider in Durham, Connecticut, licensed in Connecticut (61380) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mary Beth Van Siclen 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Beth Van Siclen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, CT 06422
- Reassigned Medicare billing, Connecticut enrollment
- 147 clinicians in this Medicare group
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 66 clinicians in this Medicare group
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 496 clinicians in this Medicare group
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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mary Beth Van Siclen's NPI number?
The NPI number for Mary Beth Van Siclen is 1730590860. It was assigned to this individual provider in the NPPES registry on May 12, 2014.
Where is Mary Beth Van Siclen located?
Mary Beth Van Siclen practices at 6 Main St, Durham, CT 06422. The listed phone number is (860) 358-5020.
What is Mary Beth Van Siclen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mary Beth Van Siclen enrolled in Medicare?
Yes. Mary Beth Van Siclen 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.
Which organizations bill Medicare for Mary Beth Van Siclen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Beth Van Siclen reassigns Medicare benefits to 3 organizations: Mhs Primary Care (Durham, CT), Middlesex Hospital (Middletown, CT) and Prohealth Physicians PC (Farmington, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Beth Van Siclen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Beth Van Siclen accept?
Health plans from Anthem Blue Cross and Blue Shield list Mary Beth Van Siclen 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.
When was this NPI record last updated?
The NPPES record for Mary Beth Van Siclen was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mary Beth Van Siclen, M.D. · NPI 1730590860
Family Medicine physician in Durham, Connecticut. Individual provider, active in the CMS NPPES registry since May 12, 2014.
## Identity
- **NPI:** 1730590860 (Entity type: Individual)
- **Enumerated:** May 12, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 61380 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 MAIN ST, Durham, CT 06422-2130
- **Phone:** (860) 358-5020 · **Fax:** (860) 358-8652
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mhs Primary Care (NPI 1942429014, Durham, CT); Middlesex Hospital (NPI 1851350664, Middletown, CT); Prohealth Physicians PC (NPI 1720194053, Farmington, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730590860) · Data from the CMS NPPES public registry.