MONICA M SEDMAK PA
NPI 1023066594
Physician Assistant - Surgical in Cincinnati, OH

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
222 PIEDMONT AVE, SUITE 2200, CINCINNATI, OH 45219(513) 475-8690(513) 475-7243 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Monica M Sedmak Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONICA M SEDMAK PA (NPI 1023066594) is an individual surgical provider in Cincinnati, Ohio, licensed in Ohio (50002435) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1023066594
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMONICA M SEDMAKCredential: PA
Location Address222 PIEDMONT AVE, SUITE 2200Cincinnati, OH 45219-4231
Mailing Address7502 State Rd, Ste 3310Cincinnati, OH 45255-2800 · (513) 624-1240
Fax(513) 475-7243
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 1, 2017
NPI 1023066594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OH · 50002435
222 PIEDMONT AVE, Cincinnati, OH 45219

Other Identifiers 2

Medicare ID-Type Unspecified0536708OH
Medicare UPINP89992OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Monica M Sedmak Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618980657
PECOS Enrollment IDI20060717000296
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
222 PIEDMONT AVE
CINCINNATI, OH 45219
Allergy & Immunology (Clinical & Laboratory Immunology)
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Nurse Practitioner (Gerontology)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Nurse Practitioner (Adult Health)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Licensed Practical Nurse
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Nurse Practitioner (Family)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
222 PIEDMONT AVE, SUITE 3200
CINCINNATI, OH 45219
Internal Medicine
222 PIEDMONT AVE, STE 6000
CINCINNATI, OH 45219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Sedmak's NPI number?

The NPI number for Monica Sedmak is 1023066594. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Monica Sedmak located?

Monica Sedmak practices at 222 Piedmont Ave Suite 2200, Cincinnati, OH 45219. The listed phone number is (513) 475-8690.

What is Monica Sedmak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Monica Sedmak enrolled in Medicare?

Yes. Monica Sedmak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Monica Sedmak accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Monica Sedmak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Monica Sedmak affiliated with any hospitals?

According to CMS data, Monica Sedmak is affiliated with Mercy Health-Anderson Hospital, The Jewish Hospital-Mercy Health, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Monica Sedmak was last updated on May 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.