Active NPI
Peter E Sedgwick, MD
- Sports Medicine (Family Medicine) Physician
- Yarmouth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 017121
- Practice address
- 259 Main St
Yarmouth, ME 04096-6723 - Phone
- (207) 846-9013
- Fax
- (207) 523-8586
- NPI assigned
- Nov 30, 2006
- Last updated
- Mar 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17121 | ME | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 017121 | ME | Primary |
Addresses
Primary practice location
259 Main St
Yarmouth, ME 04096-6723
Mailing address
100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 347-2947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of Massachusetts Medical School, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Riverview Physical Therapy Limited Partnership
Practice addresses (Care Compare)
259 Main St
Yarmouth, ME 04096-6723
Phone (207) 846-9013
50 Forest Falls Dr
Yarmouth, ME 04096-6937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017121 | ME | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Intermed, PA | Current | Accepting new patients | |
| Intermed, PA | Family Medicine | Current | Accepting new patients |
| Bridgton Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Radiology Specialists of Maine, PA | Past | Accepting new patients |
Locations
690 Minot Ave
#1
Auburn, ME 04210
Phone (207) 783-1328
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122
100 Foden Rd
Ste 100
South Portland, ME 04106
Phone (207) 874-1489
100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900
100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649
259 Main St
Yarmouth, ME 04096
Phone (207) 846-9013
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- peter.sedgwick@int.eclinicaldirectplus.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Pediatrics Physician
- South Portland, ME
- NPI 1295607836
-
- Diagnostic Radiology Physician
- Brunswick, ME
- NPI 1538163100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1568530418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DR STE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-347-2947",
"fax_number": "207-874-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 MAIN ST",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966723",
"telephone_number": "207-846-9013",
"fax_number": "207-523-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDGWICK",
"first_name": "PETER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD17121",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "ME",
"license": "017121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.