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Active NPI 1720514979 Individual Practitioner Female Practitioner

Emmeline Siebert

Optometrist • Centennial, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Emmeline Siebert is a certified Optometrist practicing in Centennial, CO. With approximately 9 years of clinical experience since graduating from University Of California - School Of Optometry in 2017, Emmeline Siebert delivers high-quality medical care to the local community at 5555 E ARAPAHOE RD.

Emmeline Siebert is affiliated with Colorado Permanente Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5555 E Arapahoe Rd

Centennial, CO 801222312

Telephone 3033383800
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Centennial, CO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -14.1 yrs vs City Avg
City Avg: 23.1 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
41 Specialists

Practicing in Centennial, CO (1307 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Siebert (9 Years) 9 Yrs
Centennial Specialty Average (23.1 Years) 23.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
112 112 $395.75 $137.00
92012 Established patient problem focused exam of visual system
50 49 $275.00 $99.83
92004 New patient complete exam of visual system
32 32 $450.00 $164.77
92133 Imaging of optic nerve
26 26 $161.00 $39.41
92134 Imaging of retina
22 21 $161.00 $44.14
92083 Exam of visual field with extended testing
21 21 $290.00 $71.69

Medical Specialties & State Licenses

CMS Verified: 2025-01-13
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CO OPT.0003990

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MA 5301

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Colorado Permanente Medical Group Pc

5555 E Arapahoe Rd, Centennial, CO 801222312

Phone: 3033384545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Lori Greene , MD

Psychiatry & Neurology - Psychiatry

NPI 1013051721

Doctor of Medicine (M.D.)

Jenifer Ratzow

Licensed Practical Nurse

NPI 1013190719
Ruby Kadota

Pediatrics

NPI 1023152725
Dr. Joyce Kobayashi , MD

Psychiatry & Neurology - Psychiatry

NPI 1033127196

Doctor of Medicine (M.D.)

Beverly Kruse

Registered Nurse

NPI 1063549038
NPI 1063735363

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 13, 2025

Registered at 5555 E ARAPAHOE RD, CENTENNIAL, CO 801222312 (Tel: 3033383800)

📍
Updated Business Mailing Address January 13, 2025

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314 (Tel: 3033383800)

👤
Provider Name / Credentials Updated December 14, 2020

Recorded as EMMELINE SIEBERT

📍
Updated Practice Location December 19, 2019

Registered at 50 STANIFORD ST STE 600, BOSTON, MA 021142587 (Tel: 6173674800)

📍
Updated Business Mailing Address December 19, 2019

Registered at 50 STANIFORD ST STE 600, BOSTON, MA 021142587 (Tel: 6173674800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2019

Optometrist (License #5301 in MA)

📍
Updated Business Mailing Address August 02, 2018

Registered at 126 HIGH ST, STE 100, BOSTON, MA 021102710 (Tel: 6174260100)

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2017

Registered at 1364 CLUB LN, RICHMOND, CA 948031257 (Tel: 3602596554)

📍
Updated Business Mailing Address May 10, 2017

Registered at 1364 CLUB LN, RICHMOND, CA 948031257

👤
Provider Name / Credentials Updated May 10, 2017

Recorded as EMMELINE CRUZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720514979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2017
Last Update: January 13, 2025
Sole Proprietor: No

Mailing Address

10350 E Dakota Ave

Denver, CO 802471314

Phone: 3033383800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.