DR. SIDNEY LINCOLN BAUCOM (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1629210372
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
Provider Addresses for DR. SIDNEY LINCOLN BAUCOM (M.D.)
5848 S FASHION BLVD STE 110
SALT LAKE CITY, UT 841076175
Phone: (801) 314-5025
Fax: (801) 314-4015
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $232.
Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Skeletal Dynamics Inc ($75).
Total Amount
$232
General + Research + Ownership
Payments
6
Total payment records
General Amount
$232
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Skeletal Dynamics Inc | $75 |
| ACUMED LLC | $72 |
| Bioventus LLC | $33 |
| Orthofix Medical, Inc. | $29 |
| Boston Scientific Corporation | $22 |
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: 2015-08-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150827000752 | I | Hand Surgery | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 141 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 71 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 83 | 40 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 69 | 45 | $0 |
Insurance plans in this area (ZIP 84107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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