Doctor profile · Federal record
Dr. Mary Kedrowski, D.O.
Surgery Physician (CMS: General Surgery) · Lake City, FL
- NPI 1629483508
- Accepts Medicare
- 12 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3140 Nw Medical Center Ln
Lake City, FL 320554717
(386) 755-6682
fax (386) 755-6796 - Mailing address
-
3140 Nw Medical Center Ln Ste 120
Lake City, FL 320554735
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- February 27, 2023
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Florida #OS15936
- Medicaid
- FL #OS15936
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629483508. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
511
Distinct HCPCS
10
Medicare allowed
$64,006
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 151 | 110 | $122 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 132 | 92 | $88 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 109 | 109 | $163 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 30 | 28 | $55 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 25 | 21 | $166 | |
76937 |
Ultrasonic guidance for blood vessel access | 14 | 14 | $14 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $217 | |
77001 |
Fluoroscopic guidance for insertion or removal of central vein access device | 13 | 13 | $18 | |
19083 |
Biopsy of breast and placement of locating device using ultrasound, first growth | 12 | 12 | $160 | |
49650 |
Repair of groin hernia using an endoscope | 11 | 11 | $448 |
In context: peer comparison
Among 2 peers in Lake City Surgery Physician, average services per provider: 45. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$359
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Davol INC. | 1 | $145.32 | |
| W. L. Gore & Associates, INC. | 1 | $109.17 | |
| Intuitive Surgical, INC. | 1 | $104.19 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
185
Patients
140
Total drug cost
$2,230
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 60 | 56 | $363 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 33 | 31 | $164 |
| Cephalexin | Generic | 23 | 23 | $123 |
| Pantoprazole Sodium | Generic | 23 | 11 | $347 |
| Ibuprofen | Generic | 19 | 19 | $73 |
| Famotidine | Generic | 16 | 0 | $175 |
| Cholestyramine (Cholestyramine (With Sugar)) | Brand | 11 | 0 | $986 |
Hospital affiliations
Frequently asked questions
What is Dr. Mary Kedrowski's medical specialty?
Dr. Mary Kedrowski practices Surgery Physician in Lake City, FL.
Where does Dr. Mary Kedrowski practice?
Dr. Mary Kedrowski practices at 3140 Nw Medical Center Ln, Lake City, FL 320554717. Office phone: 3867556682.
What is Dr. Mary Kedrowski's NPI?
Dr. Mary Kedrowski's National Provider Identifier (NPI) is 1629483508, issued by NPPES.
Does Dr. Mary Kedrowski accept Medicare assignment?
Yes. Dr. Mary Kedrowski accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Kedrowski commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.