Matthew Sexton, M.D.
NPI 1396271201 · Family Medicine Physician · Lexington, NE
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Sexton, M.D. is a Family Medicine Physician provider in Lexington, NE (NPI 1396271201).
Provider details
- NPI number
- 1396271201
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 7908 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
39 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 28 | $72 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 11 | $75 |
Typical Medicare-allowed amounts for these services range $72–$75 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 103 | 24 |
| Amlodipine Besylate | 56 | 15 |
| Lisinopril | 55 | 14 |
| Losartan Potassium | 52 | 18 |
| Apixabanbrand: Eliquis | 42 | — |
| Levothyroxine Sodium | 34 | — |
| Carvedilol |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$307 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2023-02-03
- Certified
- 2023-02-03
Frequently asked questions
- What is Matthew Sexton's NPI number?
- Matthew Sexton's National Provider Identifier (NPI) is 1396271201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Sexton's specialty?
- Matthew Sexton is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Sexton located?
- Matthew Sexton's practice location on file with NPPES is 1201 N Erie St, Lexington, NE 68850-1560.
- What is Matthew Sexton's phone number?
- The practice phone number listed in the NPPES registry for Matthew Sexton is (308) 324-5651.
- Does Matthew Sexton accept Medicare?
- Matthew Sexton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Sexton's NPI active?
- Yes — Matthew Sexton's NPI (1396271201) is active in the NPPES registry as of the last update on 2023-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.