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MR. DONALD JOSEPH SIEGEL OD
NPI 1912006669
Optometrist in Sun City West, AZ

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
13540 W CAMINO DEL SOL, SUITE 12, SUN CITY WEST, AZ 85375(623) 544-3877(623) 544-3834 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Donald Joseph Siegel Od NPPES

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

MR. DONALD JOSEPH SIEGEL OD (NPI 1912006669) is an individual optometrist in Sun City West, Arizona, licensed in Arizona (1189) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1990).

NPPES Registry Identity

NPI1912006669
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. DONALD JOSEPH SIEGELCredential: OD
Location Address13540 W CAMINO DEL SOL, SUITE 12Sun City West, AZ 85375-4434
Mailing Address13540 W Camino Del Sol, Suite 12Sun City West, AZ 85375-4434 · (623) 544-3877 · Fax (623) 544-3834
Phone(623) 544-3877
Fax(623) 544-3834
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 1990
Enumeration DateSeptember 21, 2006
Last NPPES UpdateDecember 10, 2015
✔ NPI 1912006669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 1189
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
13540 W CAMINO DEL SOL, Sun City West, AZ 85375
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Other Identifiers 2

Medicare UPINU03044
Medicare PINZ117495AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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

Mr. Donald Joseph Siegel Od 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 ID4183610249
PECOS Enrollment IDI20040423000046
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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85375 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%76 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%63 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
91%75 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%1,722 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%358 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
86%49 patients4/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%43 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%1,557 patients5/55-star benchmark: 99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 182 patients
99%182 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
98%272 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%1,557 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%1,557 patients3/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

SUN CITY WEST EYE CARE PLLC
Optometrist
13540 W CAMINO DEL SOL, SUITE 17
SUN CITY WEST, AZ 85375
Maricopa County (623) 544-3877
HERLAND INC
Community/Behavioral Health
13540 W CAMINO DEL SOL, #8
SUN CITY WEST, AZ 85375
Maricopa County (623) 398-0562
SUN CITY WEST CHIROPRACTIC, PLLC
Chiropractor
13540 W CAMINO DEL SOL, SUITE 13
SUN CITY WEST, AZ 85375
Maricopa County (623) 584-1726
SARA CLARK PTA
Physical Therapy Assistant
13540 W CAMINO DEL SOL
SUN CITY WEST, AZ 85375
Maricopa County (623) 256-7886
MRS. MINGZHU PEARL SUN LAC
Acupuncturist
13540 W CAMINO DEL SOL, SUITE 10
SUN CITY WEST, AZ 85375
Maricopa County (623) 556-9686
MS. JOSEFINA MISTY PHILLIPS DNP, PMHNP, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
13540 W CAMINO DEL SOL, STE 3
SUN CITY WEST, AZ 85375
Maricopa County (602) 693-6963
JACK LUFTMAN BSC DDS PC
Dentist (General Practice)
13540 W CAMINO DEL SOL, SUITE 6
SUN CITY WEST, AZ 85375
Maricopa County (623) 842-0042
WEST VALLEY FOOT AND ANKLE
Podiatrist (Foot & Ankle Surgery)
13540 W CAMINO DEL SOL, SUITE 15
SUN CITY, AZ 85375
Maricopa County (623) 214-1602

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 Donald Siegel's NPI number?

The NPI number for Donald Siegel is 1912006669. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Donald Siegel located?

Donald Siegel practices at 13540 W Camino Del Sol Suite 12, Sun City West, AZ 85375. The listed phone number is (623) 544-3877.

What is Donald Siegel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Donald Siegel enrolled in Medicare?

Yes. Donald 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.

What insurance does Donald Siegel accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Donald Siegel 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 Donald Siegel was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.