JOHN R SIDDOWAY MD
NPI 1356338388
Otolaryngology in Ogden, UT

Active since October 04, 2005PECOS Enrolled
4650 HARRISON BLVD, OGDEN, UT 84403(801) 475-3075(801) 475-3076 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2017, Mar 4, 2016 (2 updates tracked since 2016).

About John R Siddoway Md NPPES

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

JOHN R SIDDOWAY MD (NPI 1356338388) is an individual otolaryngology provider in Ogden, Utah, licensed in Utah (185189-1205) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356338388
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN R SIDDOWAYCredential: MD
Location Address4650 HARRISON BLVDOgden, UT 84403-4303
Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3075 · Fax (801) 475-3076
Fax(801) 475-3076
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateJanuary 19, 20172 updates tracked since enumeration
NPI 1356338388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in UT · 185189-1205
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4650 HARRISON BLVD, Ogden, UT 84403

Other Identifiers 2

Medicare UPINB43083UT
Medicare PIN000010052UT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John R Siddoway Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
4650 HARRISON BLVD
OGDEN, UT 84403
Dermatology
4650 HARRISON BLVD
OGDEN, UT 84403
Surgery
4650 HARRISON BLVD
OGDEN, UT 84403
Pharmacy (Community/Retail Pharmacy)
4650 HARRISON BLVD
OGDEN, UT 84403
Pharmacist
4650 HARRISON BLVD
OGDEN, UT 84403
Dietitian, Registered
4650 HARRISON BLVD
OGDEN, UT 84403
Physician Assistant
4650 HARRISON BLVD
OGDEN, UT 84403
Obstetrics & Gynecology
4650 HARRISON BLVD, SUITE 4650
OGDEN, UT 84403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356338388, enumerated as an "individual" on October 04, 2005.

The provider is located at 4650 HARRISON BLVD OGDEN, UT 84403 and the phone number is (801) 475-3075.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.