DR. TIM A SIDOR (MD) – Urology Physician, NPI 1154399483

DR. TIM A SIDOR (MD) is a healthcare provider. based in Ravenna, Ohio. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 35041262S (OH). The NPI Number for DR. TIM A SIDOR (MD) is 1154399483

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIM A SIDOR (MD)
NPI
1154399483
Phone
(440) 446-8637
Address
3963 Loomis Pkwy
Enumeration Date
11 March 2006
Last Update Date
24 October 2024

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
4587612700
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20050105000288
Address ID
OH440302039CO158XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

568 UROLOGY in OH

Provider Addresses for DR. TIM A SIDOR (MD)

  • 3963 Loomis Pkwy

    Ravenna, OH 442661800

    Phone: (440) 446-8637

    Fax: (330) 235-7071

    Type: Location

  • 6900, Pearl Road, Middleburg Heights, Cuyahoga County, Ohio, 44130, United States

    2ND FLOOR

    MIDDLEBURG HEIGHTS, OH 441303639

    Phone: (440) 845-0900

    Fax: (440) 845-7355

    Type: Mailing

  • 6681 RIDGE RD STE 411

    PARMA, OH 441295705

    Phone: (440) 446-8637

    Fax: (216) 201-8597

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: C. R. Bard, Inc. & Subsidiaries ($136).

Total Amount

$589

General + Research + Ownership

Payments

28

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050105000288IUrologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J9030Bcg live intravesical instillation, 1 mg1,16013$0
81001Manual urinalysis test with examination using microscope, automated1,066761$0
99214Established patient office or other outpatient visit, 30-39 minutes529482$0
87150Identification of organisms by genetic analysis, amplified probe technique33628$0
36415Insertion of needle into vein for collection of blood sample317259$0
View full utilization report →

Insurance plans in this area (ZIP 44266)

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Provider's Procedures

DR. TIM A SIDOR (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYOH51798Ultrasound measurement of bladder capacity after voiding278207
UROLOGYOH55700Biopsy of prostate gland3232
UROLOGYOH76872Ultrasound of rectum5757

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072417534View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. TIM A SIDOR (MD)?
For DR. TIM A SIDOR (MD), use NPI 1154399483 as the unique 10-digit identifier.
Is there an active status for DR. TIM A SIDOR (MD)?
For scheduling context, DR. TIM A SIDOR (MD) is shown as active in the registry.
What expertise is attributed to DR. TIM A SIDOR (MD)?
DR. TIM A SIDOR (MD)'s specialty line reads Urology Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. TIM A SIDOR (MD) registered?
Use Ravenna, Ohio as the headline location for DR. TIM A SIDOR (MD) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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