DR. JACK DONOVAN II SEDWICK (M.D.) – Facial Plastic Surgery Physician, NPI 1942272059
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 OTOLARYNGOLOGY in AK
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Provider Addresses for DR. JACK DONOVAN II SEDWICK (M.D.)
Dale Street, Anchorage, Alaska, 99508, United States
#201
ANCHORAGE, AK 995085445
Phone: (907) 561-1185
Fax: (907) 561-0327
Type: Location
Sand Box, Anchorage, Alaska, United States
ANCHORAGE, AK 995201875
Phone: (907) 561-1185
Fax: (907) 561-0327
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-06-02 • Largest payer in this snapshot: AERIN MEDICAL INC. ($28).
Total Amount
$51
General + Research + Ownership
Payments
2
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $28 |
| Pacira Pharmaceuticals Incorporated | $23 |
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: 2019-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060810000240 | I | Otolaryngology | AK | TBD |
| I20190814000077 | I | Otolaryngology | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 72 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 75 | 75 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 38 | 36 | $0 |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | 26 | 24 | $0 |
Insurance plans in this area (ZIP 99508)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| O T O L A R Y N G O L O G Y | AK | |
| Physician Assistant | AK | |
| O T O L A R Y N G O L O G Y | AK | |
| O T O L A R Y N G O L O G Y | AK | |
| O T O L A R Y N G O L O G Y | AK | |
| O T O L A R Y N G O L O G Y | AK | |
| Physician Assistant | AK | |
| Qualified Speech Language Pathologist | TX |
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