MARIE KOENIG SIDDLE (PA-C) – Physician Assistant, NPI 1891199311

MARIE KOENIG SIDDLE (PA-C) is a healthcare provider. based in Pickerington, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 004108 (OH). The NPI Number for MARIE KOENIG SIDDLE (PA-C) is 1891199311

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARIE KOENIG SIDDLE (PA-C)
NPI
1891199311
Phone
(614) 788-4390
Address
1030 REFUGEE RD STE 280
Enumeration Date
13 October 2014
Last Update Date
4 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142528300
Graduation Year
2014 (12 years ago)
PAC ID
8426361155
Group Practice PAC ID
2264424134
Professional Enrollment ID
I20150723007945
Address ID
OH432051015CO800XXSTXX400

Contacts

Secure Messaging
mkoenig23854@direct.ohiohealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MARIE KOENIG SIDDLE (PA-C)

  • 1030 REFUGEE RD STE 280

    PICKERINGTON, OH 431470019

    Phone: (614) 788-4390

    Fax: (614) 788-4399

    Type: Location

  • 800E BROAD ST

    COLUMBUS, OH 432051015

    Phone: (614) 252-8300

    Fax: (614) 252-6637

    Type: Mailing

  • 800 E BROAD ST

    COLUMBUS, OH 432051015

    Phone: (614) 252-8300

    Type: Location

  • PO BOX 7527

    DUBLIN, OH 430170727

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 162 Open Payments records for all available years, with a total value of $2,702.

Total Amount is formed as General ($2,702) + Research ($0) + Ownership ($0) = $2,702.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($485).

Total Amount

$2,702

General + Research + Ownership

Payments

162

Total payment records

General Amount

$2,702

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

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: 2015-07-23

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
I20150723007945IPhysician AssistantOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes33870$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report306225$0
99214Established patient office or other outpatient visit, 30-39 minutes305217$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes19629$0
36415Insertion of needle into vein for collection of blood sample2827$0
View full utilization report →

Insurance plans in this area (ZIP 43147)

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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: 2264424134View full group profile
NameSpecialtyState
Physician AssistantOH
-OH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

What federal number belongs to MARIE KOENIG SIDDLE (PA-C)?
The federal identifier for MARIE KOENIG SIDDLE (PA-C) is NPI 1891199311.
Does this profile mean MARIE KOENIG SIDDLE (PA-C) is currently active?
Yes — MARIE KOENIG SIDDLE (PA-C) appears active in the national provider directory.
Can you summarize MARIE KOENIG SIDDLE (PA-C)'s specialty in plain language?
Clinically, the directory lists MARIE KOENIG SIDDLE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MARIE KOENIG SIDDLE (PA-C)?
We surface Pickerington, Ohio for MARIE KOENIG SIDDLE (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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