SHAHRIAR SEDGHI (M.D.) – Gastroenterology Physician, NPI 1689659260
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
525 GASTROENTEROLOGY in GA
Provider Addresses for SHAHRIAR SEDGHI (M.D.)
610 THIRD STREET
STE 204
MACON, GA 31201
Phone: (478) 477-3936
Fax: (478) 742-2040
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 80 Open Payments records for all available years, with a total value of $2,058.
Total Amount is formed as General ($2,058) + Research ($0) + Ownership ($0) = $2,058.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($527).
Total Amount
$2,058
General + Research + Ownership
Payments
80
Total payment records
General Amount
$2,058
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $527 |
| Medtronic, Inc. | $415 |
| Celgene Corporation | $204 |
| Merck Sharp & Dohme LLC | $161 |
| Evoke Pharma, Inc. | $119 |
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: 2005-06-27
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 |
|---|---|---|---|---|
| I20050627000075 | I | Gastroenterology | GA | 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 | 661 | 480 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 542 | 101 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 512 | 95 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 487 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 467 | 319 | $0 |
Insurance plans in this area (ZIP 31201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | GA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 199 | 199 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Physician Assistant | GA | |
| P A T H O L O G Y | SC | |
| G A S T R O E N T E R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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