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Dr. Adam Ross Fedyk, MD

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Specializes in: Eye Disease Ophthalmology (Corneal and External Diseases)

University of Missouri-Columbia School of Medicine

1585 Woodlake Drive #106
Chesterfield, MO 63017

(314) 326-4800

Dr. Adam Ross Fedyk, MD is a cornea specialist in Chesterfield, MO specializing in eye disease ophthalmology (corneal and external diseases). He graduated from University of Missouri-Columbia School of Medicine. Dr. Adam Ross Fedyk, MD is affiliated with St. Luke's Hospital and St. Luke's.

Office Locations

1585 Woodlake Drive #106
Chesterfield, MO 63017

(314) 326-4800

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1585 Woodlake Drive Suite 106
Town and Country, MO 63017

(314) 326-4800

(314) 266-0558

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160 Saint Peters Centre Boulevard
Saint Peters, MO 63376

(314) 326-4800

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Noteworthy Medicare Patient Procedures Performed by Dr. Adam Ross Fedyk, MD in 2024

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

goniotomy

laser surgery

punctal plug insertion

SCODI of the posterior segment

sutureless amniotic membrane transplantation

visual evoked potential test

YAG laser capsulotomy

By Affordability:

cataract surgery

cataract surgery with IOL implantation

extracapsular cataract extraction with IOL implantation

extracapsular lens removal

intraocular lens implant

lens removal surgery

lens replacement surgery

simple cataract surgery

In 2024, among providers in related specialties within Missouri, Dr. Adam Ross Fedyk, MD performed more goniotomy, laser surgery, punctal plug insertion, SCODI of the posterior segment (SCODI-P), sutureless amniotic membrane transplantation (e.g. ProKera), visual evoked potential test, and YAG laser capsulotomy procedures for Medicare patients than 95% of them and he also had a list price for cataract surgery, cataract surgery with IOL implantation, extracapsular cataract extraction (ECCE) with IOL implantation, extracapsular lens removal, intraocular lens (IOL) implant, lens removal surgery, lens replacement surgery, and simple cataract surgery that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

eye procedures

simple cataract surgery

By Affordability:

eye surgery

In 2024, among providers in related specialties within Missouri, Dr. Adam Ross Fedyk, MD performed more eye procedures, and simple cataract surgery procedures for Medicare patients than 90% of them and he also had a list price for eye surgery that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

ultrasound corneal pachymetry

By Affordability:

ophthalmic biometry

ophthalmic ultrasound

ultrasound

In 2012, among providers in related specialties within Missouri, Dr. Adam Ross Fedyk, MD performed more ultrasound corneal pachymetry procedures for Medicare patients than 75% of them and he also had a list price for ophthalmic biometry, ophthalmic ultrasound, and ultrasound (sonogram) that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2012 were eye procedures, evoked potential test, lacrimal (tearing system) procedures and lab tests.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	66
doctor visit	136
evoked potential test	154
excision	16
eye procedures	1876
lab tests	93
lacrimal (tearing system) procedures	94
laser treatment	82
ultrasound (sonogram)	57

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2013 were eye procedures, lab tests, evoked potential test and laser treatment.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	85
doctor visit	276
evoked potential test	186
excision	25
eye procedures	2203
lab tests	495
lacrimal (tearing system) procedures	83
laser treatment	144
ultrasound (sonogram)	58

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	217
Female	284

**Ethnicity**
Non-Hispanic White	449
Black	34
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	240
From 75 to 84	136
85 and over	73
Less than 65	52

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2013

Hypertension	65
High Cholesterol	51
Stroke	4
Ischemic Heart Disease	35
Depression	20
Chronic Kidney Disease	22
Asthma	5
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	18
Chronic Obstructive Pulmonary Disease	12
Diabetes	35
Dementia	7
Cancer	10

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2014 were eye procedures, evoked potential test, lab tests and capsulotomy.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	32
doctor visit	147
evoked potential test	105
eye procedures	974
lab tests	96
laser treatment	32
ultrasound (sonogram)	16

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	110
Female	159

**Ethnicity**
Non-Hispanic White	250
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	125
From 75 to 84	74
85 and over	47
Less than 65	23

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2014

Hypertension	67
High Cholesterol	57
Stroke	4
Ischemic Heart Disease	35
Depression	20
Chronic Kidney Disease	26
Asthma	5
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	17
Chronic Obstructive Pulmonary Disease	11
Diabetes	30
Dementia	6
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2015 were eye procedures, evoked potential test, laser treatment and lacrimal (tearing system) procedures.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	50
doctor visit	187
evoked potential test	92
eye procedures	1071
lacrimal (tearing system) procedures	63
laser treatment	67
ultrasound (sonogram)	17

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	214
Female	278

**Ethnicity**
Non-Hispanic White	464
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	252
From 75 to 84	132
85 and over	80
Less than 65	28

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2015

Hypertension	58
High Cholesterol	48
Stroke	5
Ischemic Heart Disease	31
Depression	16
Chronic Kidney Disease	22
Asthma	9
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	27
Dementia	7
Cancer	10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2016 were eye procedures, evoked potential test, laser treatment and capsulotomy.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	71
doctor visit	156
evoked potential test	103
eye procedures	1296
lacrimal (tearing system) procedures	35
laser treatment	86
ultrasound (sonogram)	60

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	101
Female	176

**Ethnicity**
Non-Hispanic White	257
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	133
From 75 to 84	79
85 and over	38
Less than 65	27

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2016

Hypertension	57
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	25
Depression	24
Chronic Kidney Disease	24
Asthma	16
Osteoperosis	15
Atrial Fibrilation	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	23
Dementia	8
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2017 were eye procedures, evoked potential test, ultrasound (sonogram) and capsulotomy.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	66
doctor visit	190
evoked potential test	111
eye procedures	1465
lacrimal (tearing system) procedures	53
laser treatment	66
ultrasound (sonogram)	84

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	110
Female	207

**Ethnicity**
Non-Hispanic White	298
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	161
From 75 to 84	92
85 and over	42
Less than 65	22

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2017

Hypertension	59
High Cholesterol	39
Stroke	0
Ischemic Heart Disease	23
Depression	24
Chronic Kidney Disease	23
Asthma	4
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	11
Chronic Obstructive Pulmonary Disease	9
Diabetes	20
Dementia	7
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2018 were eye procedures, evoked potential test, capsulotomy and laser treatment.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	76
doctor visit	202
evoked potential test	151
eye procedures	1766
lacrimal (tearing system) procedures	34
laser treatment	76
ultrasound (sonogram)	45

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	145
Female	234

**Ethnicity**
Non-Hispanic White	352
Black	14
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	189
From 75 to 84	115
85 and over	48
Less than 65	27

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2018

Hypertension	59
High Cholesterol	54
Stroke	4
Ischemic Heart Disease	27
Depression	24
Chronic Kidney Disease	25
Asthma	6
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	23
Dementia	7
Cancer	11

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2019 were eye procedures, evoked potential test, capsulotomy and laser treatment.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	75
doctor visit	255
evoked potential test	125
eye procedures	1963
lacrimal (tearing system) procedures	51
laser treatment	75
ultrasound (sonogram)	52

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	142
Female	250

**Ethnicity**
Non-Hispanic White	367
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	201
From 75 to 84	122
85 and over	42
Less than 65	27

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2019

Hypertension	60
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	25
Depression	21
Chronic Kidney Disease	26
Asthma	6
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	12
Chronic Obstructive Pulmonary Disease	9
Diabetes	23
Dementia	7
Cancer	10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2020 were eye procedures, evoked potential test, capsulotomy and laser treatment.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	74
doctor visit	231
evoked potential test	132
eye procedures	1577
lacrimal (tearing system) procedures	68
laser treatment	74
ultrasound (sonogram)	47

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	153
Female	248

**Ethnicity**
Non-Hispanic White	378
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	211
From 75 to 84	129
85 and over	44
Less than 65	17

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2020

Hypertension	56
High Cholesterol	52
Stroke	3
Ischemic Heart Disease	24
Depression	22
Chronic Kidney Disease	24
Asthma	6
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	12
Chronic Obstructive Pulmonary Disease	6
Diabetes	21
Dementia	9
Cancer	12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2021 were eye procedures, evoked potential test, capsulotomy and laser treatment.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	98
doctor visit	867
evoked potential test	142
eye procedures	1135
lacrimal (tearing system) procedures	52
laser treatment	98
ultrasound (sonogram)	78

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	169
Female	284

**Ethnicity**
Non-Hispanic White	422
Black	13
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	241
From 75 to 84	159
85 and over	40
Less than 65	13

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2021

Hypertension	59
High Cholesterol	59
Stroke	2
Ischemic Heart Disease	26
Depression	20
Chronic Kidney Disease	25
Asthma	6
Osteoperosis	9
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	7
Diabetes	20
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2022 were eye procedures, evoked potential test, capsulotomy and laser treatment.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	105
doctor visit	1033
evoked potential test	185
eye procedures	1441
lacrimal (tearing system) procedures	42
laser treatment	105
ultrasound (sonogram)	74

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	224
Female	327

**Ethnicity**
Non-Hispanic White	516
Black	19
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	274
From 75 to 84	222
85 and over	42
Less than 65	13

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2022

Hypertension	70
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	21
Depression	18
Chronic Kidney Disease	21
Asthma	9
Osteoperosis	13
Atrial Fibrilation	16
Heart Failure	12
Chronic Obstructive Pulmonary Disease	8
Diabetes	21
Dementia	4
Cancer	16

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2023 were eye procedures, evoked potential test, capsulotomy and laser treatment.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	134
doctor visit	1354
evoked potential test	246
eye procedures	1841
lacrimal (tearing system) procedures	38
laser treatment	134
ultrasound (sonogram)	50

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	283
Female	431

**Ethnicity**
Non-Hispanic White	671
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	341
From 75 to 84	287
85 and over	71
Less than 65	15

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2023

Hypertension	68
High Cholesterol	75
Stroke	4
Ischemic Heart Disease	23
Depression	19
Chronic Kidney Disease	22
Asthma	8
Osteoperosis	16
Atrial Fibrilation	14
Heart Failure	9
Chronic Obstructive Pulmonary Disease	8
Diabetes	22
Dementia	3
Cancer	16

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO during 2024 were eye procedures, evoked potential test, capsulotomy and laser treatment.

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

capsulotomy	155
doctor visit	1371
evoked potential test	190
eye procedures	1680
lacrimal (tearing system) procedures	51
laser treatment	155
ultrasound (sonogram)	51

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Male	285
Female	435

**Ethnicity**
Non-Hispanic White	671
Black	26
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	328
From 75 to 84	314
85 and over	66
Less than 65	12

Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD in 2024

Hypertension	70
High Cholesterol	75
Stroke	4
Ischemic Heart Disease	24
Depression	20
Chronic Kidney Disease	22
Asthma	11
Osteoperosis	17
Atrial Fibrilation	15
Heart Failure	10
Chronic Obstructive Pulmonary Disease	11
Diabetes	22
Dementia	4
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Adam Ross Fedyk, MD for Medicare patients.

The highest averages for the top procedures that Dr. Adam Ross Fedyk, MD treated as a cornea specialist in Chesterfield, MO were eye procedures, lab tests, evoked potential test and laser treatment.

capsulotomy	83
doctor visit	492
evoked potential test	147
excision	20
eye procedures	1560
lab tests	228
lacrimal (tearing system) procedures	55
laser treatment	91
ultrasound (sonogram)	53

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Adam Ross Fedyk, MD.

**Gender**
Female	254
Male	165

**Ethnicity**
Black / African American	9
Asian / Pacific Islander	0
Non-Hispanic White	391
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	143
85 and over	48
Less than 65	21
65 to 74	207

Average of Total of Conditions of Medicare patients treated by Dr. Adam Ross Fedyk, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Adam Ross Fedyk, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	57
High Cholesterol	53
Stroke	2
Ischemic Heart Disease	24
Depression	19
Chronic Kidney Disease	21
Asthma	7
Osteoporosis	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	9
Diabetes	22
Atrial Fibrillation	10
Dementia	5
Cancer	11

Education & Training

Dr. Adam Ross Fedyk, MD graduated from University of Missouri-Columbia School of Medicine. He completed residency at University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals. He has a state license in Missouri.

Medical School: University of Missouri-Columbia School of Medicine

Residency: University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals

Licensed In: Missouri

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Adam Ross Fedyk, MD appears to accept the following insurance providers: Aetna PPO, Aetna HMO, CIGNA PPO, Great-West Healthcare, MultiPlan, Medicare Assignment, Medicare, Coventry, Golden Rule, HealthLink PPO, United Healthcare Select Plus, Coventry PPO, United Healthcare PPO, PHCS PPO, Beech Street, Coventry HMO, Care Management Resources and Blue Access / Blue Access Choice.

Insurance Accepted by Provider includes:

According to our sources, Dr. Adam Ross Fedyk, MD accepts the following insurance providers:

Aetna PPO

Aetna HMO

CIGNA PPO

Great-West Healthcare

MultiPlan

Medicare Assignment

Medicare

Coventry

Golden Rule

HealthLink PPO

United Healthcare Select Plus

Coventry PPO

United Healthcare PPO

PHCS PPO

Beech Street

Coventry HMO

Care Management Resources

Blue Access / Blue Access Choice

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Adam Ross Fedyk, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Allergan Inc.	$10,817 RESTASIS $9,926	LUMIGAN $239	COMBIGAN $12	$640
TissueTech, Inc.	$5,527 Prokera $2,750	AmnioGuard $27	$2,750
Derma Sciences, Inc.	$4,780 Biofix $4,193	BioDOptix $587
Mallinckrodt Hospital Products Inc.	$2,405 ACTHAR $2,405
Johnson & Johnson Surgical Vision, Inc.	$2,013 Tecnis Symfony IOL $1,599	Tecnis IOL $269	Tecnis Multifocal family of 1-piece IOLs $122	$23
Other	$13,397 RESTASIS MULTIDOSE $1,091	XIIDRA $748	CEQUA $522	ENVISTA $415	ACTHAR $409	Other $10,211

**Types of Payments**
Consulting Fee	$14,025
Food and Beverage	$12,788
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$5,737
Travel and Lodging	$5,205
Honoraria	$1,000
Other	$183

Research Payments

Dr. Adam Ross Fedyk, MD has received 633 research payments totaling $588,219.

Biography

Dr. Adam Fedyk's area of specialization is eye disease ophthalmology (corneal and external diseases). He is affiliated with St. Luke's. After attending the University of Missouri-Columbia School of Medicine, Dr. Fedyk completed his residency training at a hospital affiliated with the University of Texas Southwestern Medical Center at Dallas. He seems to honor Coventry, Coventry Health Care Plans, Viant, and more. Dr. Fedyk welcomes new patients at his office inChesterfield, MO as reported by St. Luke's.