DR. PETER E SEDGWICK MD
NPI 1568530418
Family Medicine - Sports Medicine in Yarmouth, ME

Q: What is Peter Sedgwick's NPI number?

The NPI number for Peter Sedgwick is 1568530418. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Peter Sedgwick's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Peter Sedgwick was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 November 30, 2006PECOS Enrolled

259 MAIN ST, YARMOUTH, ME 04096(207) 846-9013(207) 523-8586 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2026, Feb 26, 2020, Dec 3, 2018 (3 updates tracked since 2018).

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About Dr. Peter E Sedgwick Md NPPES

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

DR. PETER E SEDGWICK MD (NPI 1568530418) is an individual sports medicine provider in Yarmouth, Maine, licensed in Maine (017121) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2003).

NPPES Registry Identity

NPI1568530418

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. PETER E SEDGWICKCredential: MD

Location Address259 MAIN STYarmouth, ME 04096-6723

Mailing Address100 Gannett Dr Ste CSouth Portland, ME 04106-5900 · (207) 347-2947 · Fax (207) 874-2317

Phone(207) 846-9013

Fax(207) 523-8586

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2003

Enumeration DateNovember 30, 2006

Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1568530418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in ME · 017121

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD17121 (ME)

259 MAIN ST, Yarmouth, ME 04096

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter E Sedgwick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911099676

PECOS Enrollment IDI20070825000114

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 Peter Sedgwick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermed, PA

14 mi

Internal Medicine

100 GANNETT DR, SUITE C
South Portland, ME 04106

Reassigned Medicare billing, Maine enrollment
200 clinicians in this Medicare group

NPI 1467422733 (207) 828-0361

Central Maine Medical Center

21 mi

General Acute Care Hospital

300 MAIN ST
Lewiston, ME 04240

Reassigned Medicare billing, Maine enrollment
920 clinicians in this Medicare group

NPI 1689653487 (207) 795-5646

Bridgton Hospital

31 mi

Critical Access

10 HOSPITAL DR
Bridgton, ME 04009

Reassigned Medicare billing, Maine enrollment
563 clinicians in this Medicare group

NPI 1154370153 (207) 795-5709

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 7

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.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

123 services58 patients

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.

100 services71 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.

91 services63 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.

40 services40 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

30 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04096 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SARAH ELIZABETH PRICE NP

Nurse Practitioner