Subject Numbers Regarding Health Provider Authorizations

Authorization No. 165821-0W

October 23, 2013

Pursuant to Workers' Compensation Law Section 13-d(4), the Chair of the New York State Workers' Compensation Board has exercised his authority to temporarily suspend Dr. John Siebert's authorization to treat injured workers within the New York State workers' compensation system effective October 8, 2013. Dr. Siebert's last known business address is Univ. of Wisconsin Hospital, 600 Highland Avenue, Madison WI 53792.

The Chair's designee's investigation has revealed that the Department of Health, Bureau of Professional Medical Conduct (BPMC) has issued BPMC Order # 13-168, wherein, Dr. Siebert did not contest the charge of engaging in conduct which evidences moral unfitness. His license has been suspended for three years, stayed with probation for 36 months, and he has a permanent license restriction, whereby, he may only examine and/or treat female patients in the presence of a chaperone. Therefore, the Chair believes that Dr. Siebert may be guilty of misconduct.

Dr. Siebert is prohibited from rendering treatment and care to injured workers while his authorization is temporarily suspended. Reports submitted by Dr. Siebert for services rendered prior to October 8, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Siebert for services rendered prior to October 8, 2013 should not be denied due to the suspension of his authorization.

This suspension remains in effect until further notice. Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.