EDMUND SIEBEL
NPI 1962744946
Family Medicine - Sports Medicine in Camp Lejeune, NC

Q: What is Edmund Siebel's NPI number?

The NPI number for Edmund Siebel is 1962744946. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Q: What is Edmund Siebel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Edmund Siebel was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since March 18, 2013PECOS Enrolled

100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547(910) 450-3079 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Sep 2, 2016 (2 updates tracked since 2016).

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About Edmund Siebel NPPES

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

EDMUND SIEBEL (NPI 1962744946) is an individual sports medicine provider in Camp Lejeune, North Carolina, licensed in Virginia (0102203967) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962744946

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameEDMUND SIEBEL

Location Address100 BREWSTER BLVD, NAVAL HOSPITALCamp Lejeune, NC 28547-2538

Mailing Address100 Brewster Blvd, Naval HospitalCamp Lejeune, NC 28547-2538 · (910) 450-3079

Phone(910) 450-3079

Sole ProprietorYes

Enumeration DateMarch 18, 2013

Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1962744946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in VA · 0102203967

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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Secondary Practice Locations 2

Location 1Naval Medical Center Portsmouth, 620 John Paul Jones CirclePortsmouth, VA 23708 · Phone (757) 953-1813

Location 21300 Helicopter RdVirginia Beach, VA 23459-8913 · Phone (757) 763-3907

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edmund Siebel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28547 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

MR. JUSTIN THOMAS DAUGHTRY D.O.

Emergency Medicine