Ryan C Sidebottom, DO

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

280950 Issued in NY

Practice address

161 Genesee St Ste 106
Auburn, NY 13021-3390

Phone

(315) 567-0555

Fax

(315) 567-0308

NPI assigned

Jul 14, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Upstate Urology, Inc.Group PAC ID 1254492952, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score

91.32 of 100Reported as group

Quality

89.28

Promoting interoperability

100

Improvement activities

40

Cost

73.3

Merit-based Incentive Payment System (MIPS)

Final score

75.68 of 100Reported as group

Quality

48.88

Promoting interoperability

91

Improvement activities

40

Cost

71.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drsidebottom@amms.medentdirect.com
• Direct secure messaging: rsidebottom49292@direct.upstate.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Auburn Memorial Medical Services, PC

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1194913749

  Urology

  Medicare reassignment Care Compare group NPD
• Upstate Urology, Inc.

  • Urology Physician
  • Syracuse, NY
  • NPI 1003062043
  Medicare reassignment Care Compare group NPD
• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Medicare reassignment NPD
• Auburn Community Hospital

  dba Auburn Community Hospital - Outpatient Clinics

  • Internal Medicine Physician
  • Auburn, NY
  • NPI 1336855683

  Urology

  Medicare reassignment NPD
• Auburn Memorial Medical Services, PC

  dba Auburn Orthopaedic Services

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
  • NPI 1467151852
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Care Compare affiliation
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1508178914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "address_2": "ATT: M.ROBERTS",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-567-0480",
            "fax_number": "315-255-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 GENESEE ST STE 106",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213390",
            "telephone_number": "315-567-0555",
            "fax_number": "315-567-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDEBOTTOM",
        "first_name": "RYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "280950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04198454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirwan a Mirza, MD (Endocrinology, Diabetes, and Metabolism, PLLC)
• Sujit Kumar Shrestha
• Jennifer M Shultes, M.S., CCC-SLP
• Chris-Anne Shutter-Moran
• Amber L Shutter, NP
• Sight US LLC
• Elizabeth M Signorelli
• Silbert Optical, Inc.
• Mark Silverman, PHD
• Karen Simmonds-Brady, DDS

• Urology Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.