Active NPI 1588626014 Individual Practitioner Male Practitioner

Dr. John D Sedovy , MD

Surgery • Lexington, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Sedovy, MD is a certified Surgery practicing in Lexington, VA. With approximately 32 years of clinical experience since graduating from Temple University School Of Medicine in 1994, Dr. Sedovy delivers high-quality medical care to the local community at 100 SPOTTSWOOD DR.

Dr. Sedovy is affiliated with Bath County Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Spottswood Dr

Lexington, VA 244502454

Telephone 5404637108

Fax 5404622923

Associated Practice Facility / Clinic

🏢 Rockbridge Surgical Clinic L.l.c. Facility NPI 1538179791

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lexington, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +10.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

5 Specialists

Practicing in Lexington, VA (909 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sedovy (32 Years) 32 Yrs

Lexington Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	11	11	$534.00	$184.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$262.00	$168.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	59	$171.00	$130.40
99441 Telephone medical discussion with physician, 5-10 minutes	65	58	$57.00	$56.22
45380 Biopsy of large bowel using an endoscope	60	60	$534.00	$180.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	50	$636.00	$255.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	51	51	$351.00	$83.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	35	$69.00	$56.54
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	43	42	$395.69	$179.27
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$116.00	$90.73
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$380.00	$178.06
47562 Removal of gallbladder using an endoscope	14	14	$1416.00	$671.58
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$447.00	$155.05
49505 Repair of groin hernia (5 years or older)	12	12	$999.00	$554.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	59	$111.97	$73.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	58	$165.31	$107.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	46	$67.75	$44.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	50	50	$351.00	$85.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$170.00	$106.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$636.00	$261.21
99441 Telephone medical discussion with physician, 5-10 minutes	39	35	$57.00	$45.78
45380 Biopsy of large bowel using an endoscope	38	38	$534.00	$150.80
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$398.00	$184.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$253.00	$165.03
49505 Repair of groin hernia (5 years or older)	15	15	$999.00	$537.62
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$380.00	$189.23
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$95.00	$75.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	122	$109.00	$72.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	100	$157.00	$106.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	88	88	$636.00	$261.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	73	$66.00	$44.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	66	66	$351.00	$88.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$162.00	$106.39
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	42	42	$398.00	$188.42
45380 Biopsy of large bowel using an endoscope	37	37	$534.00	$134.04
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	37	37	$565.00	$167.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$241.00	$162.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$380.00	$184.25
47562 Removal of gallbladder using an endoscope	14	14	$1390.71	$646.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$111.00	$72.19
49505 Repair of groin hernia (5 years or older)	13	13	$1152.69	$586.46
45378 Diagnostic exam of large bowel using a flexible endoscope	12	11	$437.69	$173.70
10060 Simple or single drainage of skin abscess	11	11	$203.00	$118.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	151	118	$66.00	$43.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	87	$157.00	$105.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	96	95	$351.00	$78.06
99213 Established patient office or other outpatient visit, typically 15 minutes	81	75	$109.00	$71.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	71	71	$636.00	$259.16
45380 Biopsy of large bowel using an endoscope	54	54	$534.00	$165.12
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	46	46	$398.00	$189.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$162.00	$106.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	29	29	$565.00	$195.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$241.00	$159.35
43249 Balloon dilation of esophagus using an endoscope	28	25	$355.00	$140.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$380.00	$182.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	19	$111.00	$72.42
45378 Diagnostic exam of large bowel using a flexible endoscope	17	16	$440.43	$173.51
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	14	$187.00	$93.95
49505 Repair of groin hernia (5 years or older)	11	11	$1089.82	$547.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	357	237	$66.00	$42.75
99213 Established patient office or other outpatient visit, typically 15 minutes	92	85	$109.00	$71.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	91	90	$351.00	$88.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	79	79	$636.00	$260.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	52	$157.00	$104.54
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	52	52	$380.00	$188.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$162.00	$106.45
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	46	46	$398.00	$187.60
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	32	32	$565.00	$185.71
45380 Biopsy of large bowel using an endoscope	30	30	$529.55	$148.41
11100 Biopsy of single growth of skin and/or tissue	26	23	$177.00	$82.58
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	16	$187.00	$93.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$241.00	$161.84
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$112.00	$72.18
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	12	$163.00	$93.17
43249 Balloon dilation of esophagus using an endoscope	15	14	$355.00	$130.94
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$157.00	$95.30
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$66.00	$43.29
45381 Injection beneath lining of large bowel using a flexible endoscope	11	11	$504.00	$102.07
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$191.00	$89.88

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101054430

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5826080 (VA)

Hospital & Practice Group Affiliations

Bath County Community Hospital

106 Park Dr, Hot Springs, VA 244452921

Phone: 5408397000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Ayesha Kelly , MD

Surgery

NPI 1023252079

Doctor of Medicine (M.D.)

Dr. Claiborne Whitworth , MD

Urology

NPI 1073592796

Doctor of Medicine (M.D.)

Angelita Hansford , PA-C

Physician Assistant

NPI 1750549317

Physician Assistant (Certified)

Dr. Ashley Parker , MD

Surgery

NPI 1770726242

Doctor of Medicine (M.D.)

Dr. Robert Irons , MD

Surgery

NPI 1831151372

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 100 SPOTTSWOOD DR, LEXINGTON, VA 244502454 (Tel: 5404637108)

📍

Updated Business Mailing Address July 08, 2007

Registered at 100 SPOTTSWOOD DR, LEXINGTON, VA 244502454 (Tel: 5404637108)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN SEDOVY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #0101054430 in VA)

🟢

Initial NPI Registration & Enumeration April 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588626014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Spottswood Dr

Lexington, VA 244502454

Phone: 5404637108

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.