EVAN MATTHEW SIEGALL (M.D.) – Pediatric Orthopaedic Surgery Physician, NPI 1215248711
Pediatric Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 ORTHOPEDIC SURGERY in GA
Provider Addresses for EVAN MATTHEW SIEGALL (M.D.)
101 St Josephs Candler Dr Fl 1
Pooler, GA 313229579
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 197320191
Phone: (602) 651-6212
Fax: (302) 651-4945
Type: Mailing
4425 PAULSEN ST
SAVANNAH, GA 314053662
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,339.
Total Amount is formed as General ($1,339) + Research ($0) + Ownership ($0) = $1,339.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Team 1, Llc ($988).
Total Amount
$1,339
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,339
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Team 1, Llc | $988 |
| Medtronic, Inc. | $87 |
| Davol Inc. | $61 |
| Pacira Pharmaceuticals Incorporated | $44 |
| Smith+Nephew, Inc. | $41 |
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: 2020-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160120002198 | I | Orthopedic Surgery | GA | TBD |
| I20200701003338 | I | Orthopedic Surgery | SC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Physical Therapist In Private Practice | GA | |
| Nurse Practitioner | IN | |
| Physical Therapist In Private Practice | GA | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | GA | |
| Orthopedic Surgery | GA |
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