Larry Sexton, PMHNP-BC
NPI 1396849980 · Psychiatric/Mental Health Nurse Practitioner · Augusta, ME
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larry Sexton, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Augusta, ME (NPI 1396849980).
Provider details
- NPI number
- 1396849980
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- R049009 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
298 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 298 | $72 |
Typical Medicare-allowed amounts for these services range $72–$72 (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 · 64 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 261 | 22 |
| Gabapentin | 241 | 54 |
| Methylphenidate Hcl | 224 | 19 |
| Lamotrigine | 130 | 30 |
| Cariprazine Hclbrand: Vraylar | 129 | 17 |
| Lumateperone Tosylatebrand: Caplyta | 109 | 17 |
| Dextroamphetamine/Amphetamine |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,321 across 148 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
- 2006-09-12
- Last updated
- 2012-12-04
Frequently asked questions
- What is Larry Sexton's NPI number?
- Larry Sexton's National Provider Identifier (NPI) is 1396849980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Sexton's specialty?
- Larry Sexton is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Larry Sexton located?
- Larry Sexton's practice location on file with NPPES is 841 Riverside Dr., Augusta, ME 04330.
- What is Larry Sexton's phone number?
- The practice phone number listed in the NPPES registry for Larry Sexton is (207) 213-4616.
- Does Larry Sexton accept Medicare?
- Larry Sexton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larry Sexton's NPI active?
- Yes — Larry Sexton's NPI (1396849980) is active in the NPPES registry as of the last update on 2012-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.