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

Q: 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.

Q: What is Mary Sedarous's specialty?

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

Q: 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.

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: October 25, 2026.

On this page

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

Phone(732) 897-3600

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mary Sedarous reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monmouth-Ocean Neurology PC

0.1 mi

Specialist

1944 CORLIES AVE, STE 206
Neptune, NJ 07753

Reassigned Medicare billing, New Jersey enrollment
11 clinicians in this Medicare group

NPI 1508848599 (732) 774-8282

Hackensack Meridian Health Medical Group - Specialty Care PC

9.1 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

37 services35 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.

35 services35 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

26 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services26 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

25 services25 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

25 services25 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

19 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

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

Quality

73.17

Improvement Activities

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.

DR. MEGHAN IONA RATTIGAN D.O.

Obstetrics & Gynecology

1945 CORLIES AVE
NEPTUNE, NJ 07753

Monmouth County (732) 776-3790

ZACHARY S EVANS MD

Student in an Organized Health Care Education/Training Program

1945 CORLIES AVE
NEPTUNE CITY, NJ 07753

Monmouth County (732) 775-5500

TZIPPY REICHMAN APN

Nurse Practitioner (Family)

1945 CORLIES AVE
NEPTUNE, NJ 07753

Monmouth County (929) 481-4081

ASHLEY COVILLE FNP-C

Nurse Practitioner (Family)

1945 CORLIES AVE
NEPTUNE CITY, NJ 07753

Monmouth County (732) 776-4203

DR. ISRIN SRISETHNIL DO

Anesthesiology

1945 CORLIES AVE
NEPTUNE, NJ 07753

Monmouth County (732) 897-0200

MS. CHRISTINE OGLE APN

Nurse Practitioner (Acute Care)

1945 CORLIES AVE
NEPTUNE, NJ 07753

Monmouth County (732) 775-5500

SANDRA LYNNE TATULLI

Nurse Practitioner

1945 CORLIES AVE
NEPTUNE, NJ 07753

Monmouth County (732) 775-5500

MERIDIAN HEALTH SYSTEMS

Psychiatric Hospital

1945 CORLIES AVE
NEPTUNE, NJ 07753

Monmouth County (732) 776-2325

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.

Which organizations bill Medicare for Mary Sedarous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Sedarous reassigns Medicare benefits to 2 organizations: Monmouth-Ocean Neurology PC (Neptune, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Sedarous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Sedarous accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mary Sedarous 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 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 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.