DR. DERRICK ROBSON SIEBERT (M.D.) – Diagnostic Radiology Physician, NPI 1063674224

DR. DERRICK ROBSON SIEBERT (M.D.) is a healthcare provider. based in Wausau, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 61877 - 20 (WI). The NPI Number for DR. DERRICK ROBSON SIEBERT (M.D.) is 1063674224

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. DERRICK ROBSON SIEBERT (M.D.)
NPI
1063674224
Phone
(414) 559-1273
Address
PO BOX 1324
Enumeration Date
30 June 2008
Last Update Date
23 June 2014

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
7155612255
Graduation Year
2008 (18 years ago)
PAC ID
9335365253
Group Practice PAC ID
7618869587
Professional Enrollment ID
I20140729001282
Address ID
WI545341372HU501XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,101 DIAGNOSTIC RADIOLOGY in WI

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Provider Addresses for DR. DERRICK ROBSON SIEBERT (M.D.)

  • PO BOX 1324

    WAUSAU, WI 544021324

    Phone: (414) 559-1273

    Type: Mailing

  • Pine Ridge Boulevard, Wausau, Marathon County, Wisconsin, 54401, United States

    WAUSAU, WI 544014120

    Phone: (715) 847-2283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ARGON MEDICAL DEVICES, INC. ($20).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2014-07-29

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
I20140729001282IDiagnostic RadiologyWITBD

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
71045X-ray of chest, 1 view221184$0
77067Screening mammography203203$0
77063Screening 3d breast mammography199199$0
71046X-ray of chest, 2 views8888$0
70450Ct scan head or brain without contrast7167$0
View full utilization report →

Insurance plans in this area (ZIP 54402)

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Provider's Procedures

DR. DERRICK ROBSON SIEBERT (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWI71250CT scan chest1111
DIAGNOSTIC RADIOLOGYWI73110X-ray of wrist, minimum of 3 views1212
DIAGNOSTIC RADIOLOGYWI73562X-ray of knee, 3 views1414
DIAGNOSTIC RADIOLOGYWI73630X-ray of foot, minimum of 3 views2120
DIAGNOSTIC RADIOLOGYWI76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1212
DIAGNOSTIC RADIOLOGYWI77012Radiological supervision and interpretation of CT guidance for needle insertion2323
DIAGNOSTIC RADIOLOGYWI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2928

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: 7618869587View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyWI
Diagnostic RadiologyNY
Diagnostic RadiologyTX
Diagnostic RadiologyWI
Physician AssistantWI
Diagnostic RadiologyWI
-WI
Nurse PractitionerWI
Diagnostic RadiologyTX
Diagnostic RadiologyWI

Reviews

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Frequently asked questions

Can I cross-check DR. DERRICK ROBSON SIEBERT (M.D.) using NPI 1063674224?
NPI 1063674224 belongs to DR. DERRICK ROBSON SIEBERT (M.D.); compare other details if you need extra assurance.
Is DR. DERRICK ROBSON SIEBERT (M.D.) shown as active in public data?
Registry records indicate DR. DERRICK ROBSON SIEBERT (M.D.) maintains an active NPI.
What expertise is attributed to DR. DERRICK ROBSON SIEBERT (M.D.)?
DR. DERRICK ROBSON SIEBERT (M.D.)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DERRICK ROBSON SIEBERT (M.D.)?
Travel planning: use Wausau, Wisconsin as the reference point for DR. DERRICK ROBSON SIEBERT (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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