DR. THERESE MARIE LUCIETTO-SIERADZKI (M.D.) – Family Medicine Physician, NPI 1699708636
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. THERESE MARIE LUCIETTO-SIERADZKI (M.D.)
Cadillac Court, Belvidere, Boone County, Illinois, 61008, United States
BELVIDERE, IL 610081733
Phone: (815) 544-0087
Fax: (815) 544-0088
Type: Location
PO BOX 298
BELVIDERE, IL 610080298
Phone: (815) 544-0087
Fax: (815) 544-0088
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 203 Open Payments records for all available years, with a total value of $3,129.
Total Amount is formed as General ($3,129) + Research ($0) + Ownership ($0) = $3,129.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($351).
Total Amount
$3,129
General + Research + Ownership
Payments
203
Total payment records
General Amount
$3,129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kowa Pharmaceuticals America, Inc. | $351 |
| Lilly USA, LLC | $286 |
| ABBVIE INC. | $283 |
| AstraZeneca Pharmaceuticals LP | $180 |
| GlaxoSmithKline, LLC. | $175 |
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: 2014-09-09
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 |
|---|---|---|---|---|
| I20041019001296 | I | Family Practice | IL | TBD |
| I20140909002691 | I | Family Practice | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 49 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 32 | 18 | $0 |
| 81002 | Urinalysis, manual test | 14 | 13 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 61008)
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