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MATTHEW J. SIEBERT MD
NPI 1073141768
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Salt Lake City, UT

Active since March 30, 2020PECOS Enrolled
590 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 587-5448 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2021, Mar 30, 2020 (2 updates tracked since 2020).

About Matthew J. Siebert Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW J. SIEBERT MD (NPI 1073141768) is an individual pediatric orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (12420113-1205) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2020).

NPPES Registry Identity

NPI1073141768
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameMATTHEW J. SIEBERTCredential: MD
Location Address590 S WAKARA WAYSalt Lake City, UT 84108-1200
Mailing Address590 S Wakara WaySalt Lake City, UT 84108-1200 · (801) 587-5448 · Fax (801) 587-5411
Phone(801) 587-5448
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1073141768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in UT · 12420113-1205
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 12420113-1205 (UT)
590 S WAKARA WAY, Salt Lake City, UT 84108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew J. Siebert Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668877630
PECOS Enrollment IDI20260828002260
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Siebert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Adult Services
Same address
Physical Therapist
520 S WAKARA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1487000287 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA L. GATES MD
Orthopaedic Surgery
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-5448
THOMAS HONG MD
Student in an Organized Health Care Education/Training Program
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
ANDREW KOSTURIK
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
LUIS B. FANDINO MD
Orthopaedic Surgery
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-5448
NAOMI RUTH LAIRD PA-C
Physician Assistant
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
DENNIS N. JACKSON MD
Emergency Medicine
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
TREVOR WILTZ DPT
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
DR. JOSHUA KURT JOHNSON DPT
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Siebert's NPI number?

The NPI number for Matthew Siebert is 1073141768. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Matthew Siebert located?

Matthew Siebert practices at 590 S Wakara Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-5448.

What is Matthew Siebert's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Matthew Siebert enrolled in Medicare?

Yes. Matthew Siebert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Siebert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Siebert reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Siebert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Siebert accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 10 other insurers list Matthew Siebert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Siebert was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.