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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA R SERGESKETTER MD
NPI 1124589189
Plastic Surgery in Charlottesville, VA

Active since March 30, 2019PECOS Enrolled
650 PETER JEFFERSON PKWY STE 200, CHARLOTTESVILLE, VA 22911(434) 924-5078(434) 924-8118 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda R Sergesketter Md NPPES

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

AMANDA R SERGESKETTER MD (NPI 1124589189) is an individual plastic surgery provider in Charlottesville, Virginia, licensed in Virginia (0101289448) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1124589189
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameAMANDA R SERGESKETTERCredential: MD
Location Address650 PETER JEFFERSON PKWY STE 200Charlottesville, VA 22911-8846
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Phone(434) 924-5078
Fax(434) 924-8118
Sole ProprietorNo
Enumeration DateMarch 30, 2019
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1124589189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in VA · 0101289448
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
650 PETER JEFFERSON PKWY STE 200, Charlottesville, VA 22911
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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-3627 · Fax (434) 982-3433

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda R Sergesketter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Amanda Sergesketter's NPI number?

The NPI number for Amanda Sergesketter is 1124589189. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Amanda Sergesketter located?

Amanda Sergesketter practices at 650 Peter Jefferson Pkwy Ste 200, Charlottesville, VA 22911. The listed phone number is (434) 924-5078.

What is Amanda Sergesketter's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Amanda Sergesketter enrolled in Medicare?

Yes. Amanda Sergesketter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Sergesketter was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.