DR. MARY SEDAROUS M.D.
NPI 1114187465
Neuromusculoskeletal Medicine & OMM in Neptune, NJ

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
88.41/100
CMS Quality Rating
1945 CORLIES AVE, NEPTUNE, NJ 07753(732) 897-3600(732) 897-3660 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Sedarous M.d. NPPES

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

DR. MARY SEDAROUS M.D. (NPI 1114187465) is an individual neuromusculoskeletal medicine & omm provider in Neptune, New Jersey, licensed in New Jersey (25MA09068100) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114187465
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameDR. MARY SEDAROUSCredential: M.D.
Location Address1945 CORLIES AVENeptune, NJ 07753-5197
Mailing Address1945 Corlies AveNeptune, NJ 07753-5197 · (732) 897-3600 · Fax (732) 897-3660
Fax(732) 897-3660
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 11, 2008
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
NPI 1114187465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License Licensed in NJ · 25MA09068100
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
1945 CORLIES AVE, Neptune, NJ 07753

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

Dr. Mary Sedarous M.d. 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 ID42476046
PECOS Enrollment IDI20120719000048
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 14

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.
240 services199 patients
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) G0453
Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.
165 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
99 services99 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services45 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
52 services32 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
42 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.17
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims52 services$17.00 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers62 claims62 services$913.00 avg. paid by Medicare
Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions E0467
DME-Other DME · category DE005N
3 suppliers19 claims19 services$1,069.63 avg. paid by Medicare
Cough stimulating device, alternating positive and negative airway pressure E0482
DME-Other DME · category DE000N
3 suppliers52 claims53 services$315.16 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers32 claims33 services$33.76 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers26 claims31,200 services$9.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
1945 CORLIES AVE
NEPTUNE, NJ 07753
Student in an Organized Health Care Education/Training Program
1945 CORLIES AVE
NEPTUNE CITY, NJ 07753
Nurse Practitioner (Family)
1945 CORLIES AVE
NEPTUNE, NJ 07753
Nurse Practitioner (Family)
1945 CORLIES AVE
NEPTUNE CITY, NJ 07753
Nurse Practitioner (Primary Care)
1945 CORLIES AVE
NEPTUNE, NJ 07753
Anesthesiology
1945 CORLIES AVE
NEPTUNE, NJ 07753
Nurse Practitioner (Acute Care)
1945 CORLIES AVE
NEPTUNE, NJ 07753
Nurse Practitioner
1945 CORLIES AVE
NEPTUNE, NJ 07753

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 Mary Sedarous's NPI number?

The NPI number for Mary Sedarous is 1114187465. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Mary Sedarous located?

Mary Sedarous practices at 1945 Corlies Ave, Neptune, NJ 07753. The listed phone number is (732) 897-3600.

What is Mary Sedarous's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Mary Sedarous enrolled in Medicare?

Yes. Mary Sedarous 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.

Is Mary Sedarous affiliated with any hospitals?

According to CMS data, Mary Sedarous is affiliated with Riverview Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Centrastate Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Sedarous was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.