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Dr. Peter Damian Sidor , MD

Pediatrics β€’ Cody, WY

Active NPI 1568751014 Individual Practitioner Male Practitioner
Practice location in NPPES

1220 Sunshine Ave Ste 101
Cody, WY 824144247

Call 3075875545 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1220 Sunshine Ave Ste 101

Cody, WY 824144247

Telephone 3075875545
Organization at the Same NPPES Address or Phone
Big Horn Basin Children's Clinic, Pc Facility NPI 1013467851

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Cody, WY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $13.43 in 2022

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2022.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Sidor has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Sidor as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cody and Wyoming

2 active clinicians are listed under Pediatrics with a practice address in Cody, WY (80 in Wyoming).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2022
Disclosure Year:

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $13.43.

Manufacturer Payment Nature Product Type Amount ($)
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
REBLOZYL General $13.43

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WY 10301A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wyoming State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20160201000509

Enrollment State Jurisdiction

WY

PECOS Control ID

0840445227

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

707 Sheridan Ave, Pediatric Clinic

Cody, WY 824143409

Phone: 3075782890

707 Sheridan Ave, Pediatric Clinic

Cody, WY 824143409

Phone: 3075782890

424 Yellowstone Ave Ste 320

Cody, WY 82414

Phone: 3075782890

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location June 23, 2020

Registered at 1220 SUNSHINE AVE STE 101, CODY, WY 824144247 (Tel: 3075875545)

πŸ“
Updated Business Mailing Address June 23, 2020

Registered at 1220 SUNSHINE AVE STE 101, CODY, WY 824144247 (Tel: 3075875545)

πŸ“
Updated Practice Location October 24, 2019

Registered at 424 YELLOWSTONE AVE STE 320, CODY, WY 82414 (Tel: 3075782890)

πŸ“
Updated Business Mailing Address October 24, 2019

Registered at 707 SHERIDAN AVE, CODY, WY 824143409 (Tel: 3075277501)

βœ…
NPI Profile Active December 07, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 07, 2015

Registered at 707 SHERIDAN AVE, PEDIATRIC CLINIC, CODY, WY 824143409 (Tel: 3075782890)

πŸ“
Business Mailing Address (Initial Record) December 07, 2015

Registered at 707 SHERIDAN AVE, PEDIATRIC CLINIC, CODY, WY 824143409 (Tel: 3075782890)

πŸ‘€
Provider Name / Credentials (Initial Record) December 07, 2015

Recorded as PETER SIDOR, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2015

Pediatrics (license number reported to NPPES: WY 10301A)

🟒
Initial NPI Registration & Enumeration April 05, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568751014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2011
Last Update: June 23, 2020
Sole Proprietor: No

Mailing Address

1220 Sunshine Ave Ste 101

Cody, WY 824144247

Phone: 3075875545

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.