2026 NPPES data Public Health & General Preventive Medicine Physician NPI 1538268412 M.D., M.P.H
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JACQUELINE SEDGWICK, M.D., M.P.H

Public Health & General Preventive Medicine Physician in CAPITOLA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 361 beneficiaries · Public Health & General Preventive Medicine Physician avg: 968
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.5085/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

JACQUELINE SEDGWICK, M.D., M.P.H reported a CMS MIPS final score of 96.5085/100 — above the 83.1 national average — and filed 3,234 Medicare Part D claims in 2023.

96.5085/100
MIPS score · +13 vs avg
3K
Part D claims, 2023
91%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JACQUELINE SEDGWICK, M.D., M.P.H's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 17% higher than 83% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JACQUELINE SEDGWICK, M.D., M.P.H practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JACQUELINE SEDGWICK, M.D., M.P.H?

High performer (top quartile)

NPI registry status

Active

Issued 09/21/2006

NPI 1538268412

Primary specialty

Public Health & General Preventive Medicine Physician

Niche

1,764 US NPIs in this specialty

Medicare Part D claims

3,234 234% vs specialty avg

2023 prescription claims

Specialty avg: 968

MIPS final score

96.5085/100 13.408500000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Public Health & General Preventive Medicine Physician compares to other specialties among California providers

California providers

Public Health & General Preventive Medicine Physician share within California

1. Public Health & General Preventive Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Public Health & General Preventive Medicine Physician share within California

Medicare quality performance — MIPS

JACQUELINE SEDGWICK, M.D., M.P.H's 2023 MIPS final score plotted against the Public Health & General Preventive Medicine Physician national average

High performer (top quartile)
MIPS Final Score
96.5085/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Public Health & General Preventive Medicine Physician) — 96.5085/100 vs national avg 83.1

0%100%National avg83%96.5%
MIPS final score (Public Health & General Preventive Medicine Physician) — 96.5085/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JACQUELINE SEDGWICK, M.D., M.P.H appears in the CMS NPPES registry as a Public Health & General Preventive Medicine Physician provider holding M.D., M.P.H credentials at 528 CAPITOLA AVE, CAPITOLA, CA, 95010, with a listed phone of (831) 475-1630. NPI 1538268412 was issued on 09/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEDGWICK most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,234 prescription claims written by this provider, covering 361 Medicare beneficiaries and totaling roughly $231K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 4.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.5085/100 for the 2023 performance year (Quality 80.342), compared with the national average of 83.1.

Public Health & General Preventive Medicine Physician is a narrow specialty nationwide, with 1,764 enrolled providers across 52 states and an average of 968 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

528 CAPITOLA AVE
CAPITOLA, CA 95010

Provider Details

NPI 1538268412
Specialty Public Health & General Preventive Medicine Physician
Credentials M.D., M.P.H
Gender Female
NPI Issued 09/21/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.5085
Final Score
Avg: 83.1
80.342
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JACQUELINE SEDGWICK, M.D., M.P.H bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SANTA ROSA COMMUNITY HEALTH CENTERS
SANTA ROSA, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to JACQUELINE SEDGWICK, M.D., M.P.H. To verify JACQUELINE SEDGWICK, M.D., M.P.H's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JACQUELINE SEDGWICK, M.D., M.P.H — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 3,234 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,234
Total Claims
$231K
Total Drug Cost
361
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,271
Total Day Supply
210,976
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$162K
Generic Drug Cost
$68K
Opioid Claims
143 (4.4% rate)
Antibiotic Claims
72

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.03
Gender Split
73% female / 27% male
Age Distribution
<65: 25, 65-74: 193, 75-84: 101, 85+: 42

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JACQUELINE SEDGWICK, M.D., M.P.H prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
213
Amlodipine Besylate
186
Atorvastatin Calcium
163
Lisinopril
132
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
110
Simvastatin
105
Hydrochlorothiazide
90
Metoprolol Succinate
78
Losartan Potassium
75
Trazodone Hcl
72

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Public Health & General Preventive Medicine Physician Overview

How JACQUELINE SEDGWICK, M.D., M.P.H fits within the Public Health & General Preventive Medicine Physician landscape nationally.

1,764
Public Health & General Preventive Medicine Physician Providers in US
52
States with Public Health & General Preventive Medicine Physician
968
Avg Claims per Provider

JACQUELINE SEDGWICK, M.D., M.P.H's 3,234 claims are above the specialty average of 968.

Nearby Public Health & General Preventive Medicine Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as SEDGWICK.

Compare Public Health & General Preventive Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JACQUELINE SEDGWICK, M.D., M.P.H's specialty?
JACQUELINE SEDGWICK, M.D., M.P.H specializes in Public Health & General Preventive Medicine Physician and practices in CAPITOLA, California. Credentials: M.D., M.P.H.
How much does JACQUELINE SEDGWICK, M.D., M.P.H prescribe under Medicare Part D?
In 2023, JACQUELINE SEDGWICK, M.D., M.P.H wrote 3,234 Medicare Part D claims totaling $231K in drug costs for 361 beneficiaries.
What is JACQUELINE SEDGWICK, M.D., M.P.H's Medicare quality score?
JACQUELINE SEDGWICK, M.D., M.P.H has a CMS MIPS Final Score of 96.5085/100 (Quality: 80.342). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JACQUELINE SEDGWICK, M.D., M.P.H located?
JACQUELINE SEDGWICK, M.D., M.P.H is located at 528 CAPITOLA AVE, CAPITOLA, CA, 95010. Phone: (831) 475-1630.
What is JACQUELINE SEDGWICK, M.D., M.P.H's NPI number?
JACQUELINE SEDGWICK, M.D., M.P.H's National Provider Identifier (NPI) is 1538268412, issued on 09/21/2006.
Does JACQUELINE SEDGWICK, M.D., M.P.H prescribe more brand-name or generic drugs?
JACQUELINE SEDGWICK, M.D., M.P.H's prescribing is 9% brand-name and 91% generic drugs by claim count, with $162K in brand drug costs.
Does JACQUELINE SEDGWICK, M.D., M.P.H prescribe opioids?
Yes, JACQUELINE SEDGWICK, M.D., M.P.H had 143 opioid claims in 2023 with an opioid prescribing rate of 4.4%.
How many Public Health & General Preventive Medicine Physician providers are there in the US?
There are 1,764 Public Health & General Preventive Medicine Physician providers across 52 states in the US. The average Public Health & General Preventive Medicine Physician provider writes 968 Medicare Part D claims per year.
What drugs does JACQUELINE SEDGWICK, M.D., M.P.H prescribe most often?
Based on 2023 Medicare Part D data, JACQUELINE SEDGWICK, M.D., M.P.H's most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JACQUELINE SEDGWICK, M.D., M.P.H accept Medicare?
JACQUELINE SEDGWICK, M.D., M.P.H appears in CMS Medicare data with 3,234 Part D claims and 361 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JACQUELINE SEDGWICK, M.D., M.P.H's credentials?
JACQUELINE SEDGWICK, M.D., M.P.H's NPI is 1538268412 with credentials M.D., M.P.H. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology