MS. KIMBERLY JO SEDBROOK (PA-C) – Physician Assistant, NPI 1043554868
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,190 PHYSICIAN ASSISTANT in CO
Provider Addresses for MS. KIMBERLY JO SEDBROOK (PA-C)
3455 S YARROW ST
LAKEWOOD, CO 802275031
Phone: (303) 989-5231
Fax: (303) 989-9785
Type: Mailing
12605 E 16TH AVE
AURORA, CO 800452545
Phone: (720) 848-0000
Type: Location
4100 W 50th St
Edina, MN 554241200
Phone: (952) 929-8888
Fax: (952) 473-7281
Type: Location
2 CARLSON PKWY N STE 240
PLYMOUTH, MN 554474485
Phone: (763) 367-7110
Type: Mailing
2 CARLSON PKWY N STE 100
PLYMOUTH, MN 554474467
Phone: (952) 473-1286
Fax: (952) 473-7281
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $1,548.
Total Amount is formed as General ($1,548) + Research ($0) + Ownership ($0) = $1,548.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($451).
Total Amount
$1,548
General + Research + Ownership
Payments
58
Total payment records
General Amount
$1,548
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $451 |
| Lilly USA, LLC | $179 |
| Janssen Biotech, Inc. | $135 |
| E.R. Squibb & Sons, L.L.C. | $104 |
| Regeneron Healthcare Solutions, Inc. | $100 |
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: 2013-02-01
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20130201000482 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 387 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 118 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 102 | 91 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 47 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 80227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | WI | |
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Dermatology, Internal Medicine | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MA | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN |
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