DR. DERRICK ROBSON SIEBERT M.D. NPI 1063674224

NPI Information

  • NPI: 1063674224
  • Provider Name: DR. DERRICK ROBSON SIEBERT, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 PINE RIDGE BLVD
    WAUSAU, WI
    ZIP 54401
  • Phone: (715) 847-2283

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NPI Details

DR. Derrick Robson Siebert, M.D. is a diagnostic radiology radiology in Wausau, WI with 18 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Derrick Robson Siebert, M.D. NPI is 1063674224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2008

The provider's business location address is:

333 PINE RIDGE BLVD
WAUSAU, WI
ZIP 54401-120
Phone: (715) 847-2283

The NPI 1063674224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of heart structure with contrast (HCPCS:75572)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional Radiology61877 - 20WISCONSINNo
22085R0202XRadiologyDiagnostic Radiology61877 - 20WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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