DR. TIMOTHY CHARLES SIEGRIST (M.D.) – Urology Physician, NPI 1720279946

DR. TIMOTHY CHARLES SIEGRIST (M.D.) is a healthcare provider. based in Middletown, Connecticut. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 049430 (CT). The NPI Number for DR. TIMOTHY CHARLES SIEGRIST (M.D.) is 1720279946

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY CHARLES SIEGRIST (M.D.)
NPI
1720279946
Phone
(860) 347-8850
Address
520 SAYBROOK RD
Enumeration Date
5 August 2007
Last Update Date
14 September 2011

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8603582270
Graduation Year
2005 (21 years ago)
PAC ID
1759569437
Group Practice PAC ID
4082507371
Professional Enrollment ID
I20110628000538
Address ID
CT064574777MI410XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

171 UROLOGY in CT

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Provider Addresses for DR. TIMOTHY CHARLES SIEGRIST (M.D.)

  • 520, Saybrook Road, Middletown, Middlesex County, Connecticut, 06457, United States

    MIDDLETOWN, CT 064574700

    Phone: (860) 347-8850

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $603.

Total Amount is formed as General ($603) + Research ($0) + Ownership ($0) = $603.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: C. R. Bard, Inc. & Subsidiaries ($407).

Total Amount

$603

General + Research + Ownership

Payments

15

Total payment records

General Amount

$603

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110628000538IUrologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test293219$0
99214Established patient office or other outpatient visit, 30-39 minutes250178$0
99213Established patient office or other outpatient visit, 20-29 minutes155120$0
J9217Leuprolide acetate (for depot suspension), 7.5 mg15021$0
52000Diagnostic exam of bladder and urethra using an endoscope8471$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Provider's Procedures

DR. TIMOTHY CHARLES SIEGRIST (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYCT76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082507371View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Family PracticeCT
Physician AssistantCT
-CT
Family PracticeCT
Family PracticeCT
Physician AssistantMA
General SurgeryCT

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Frequently asked questions

What number should I use to identify DR. TIMOTHY CHARLES SIEGRIST (M.D.) for billing?
Administrative and clinical systems typically use NPI 1720279946 for DR. TIMOTHY CHARLES SIEGRIST (M.D.).
Does the public listing show DR. TIMOTHY CHARLES SIEGRIST (M.D.) as active?
DR. TIMOTHY CHARLES SIEGRIST (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. TIMOTHY CHARLES SIEGRIST (M.D.)'s listing?
DR. TIMOTHY CHARLES SIEGRIST (M.D.)'s public classification highlights Urology Physician. Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY CHARLES SIEGRIST (M.D.) tied to Middletown, Connecticut?
If you are local to Middletown, Connecticut, DR. TIMOTHY CHARLES SIEGRIST (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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