DR. PETER E SEDGWICK (MD) – Sports Medicine (Family Medicine) Physician, NPI 1568530418
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
49 SPORTS MEDICINE in ME
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Provider Addresses for DR. PETER E SEDGWICK (MD)
100 GANNETT DR STE C
SOUTH PORTLAND, ME 041065900
Phone: (207) 347-2947
Fax: (207) 874-2317
Type: Mailing
Intermed, 259, Main Street, Yarmouth, Cumberland County, Maine, 04096, United States
YARMOUTH, ME 040966723
Phone: (207) 846-9013
Fax: (207) 523-8586
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-08-25
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 |
|---|---|---|---|---|
| I20070825000114 | I | Sports Medicine | ME | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 118 | 63 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 115 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 50 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 04106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | ME | 20610 | Aspiration and/or injection of large joint or joint capsule | 151 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| P S Y C H I A T R Y | ME | |
| Physical Therapist In Private Practice | ME | |
| Family Practice, Sports Medicine | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME | |
| Family Practice | ME | |
| - | ME | |
| - | ME | |
| Internal Medicine | ME |
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