DANIEL PETER SEXTON MD
NPI 1215433222
Neurological Surgery in Palo Alto, CA

Active since March 30, 2018PECOS Enrolled
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2026, Mar 30, 2018 (2 updates tracked since 2018).

About Daniel Peter Sexton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL PETER SEXTON MD (NPI 1215433222) is an individual neurological surgery provider in Palo Alto, California, licensed in New Mexico (MD2026-0565) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215433222
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDANIEL PETER SEXTONCredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1215433222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in NM · MD2026-0565✔ Licensed in CA · A201119
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
725 WELCH RD, Palo Alto, CA 94304

Secondary Practice Location 1

Location 11 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-3401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Peter Sexton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426563909
PECOS Enrollment IDI20260627000901
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Daniel Sexton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Sexton's NPI number?

The NPI number for Daniel Sexton is 1215433222. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Daniel Sexton located?

Daniel Sexton practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Daniel Sexton's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Daniel Sexton enrolled in Medicare?

Yes. Daniel Sexton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Sexton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Sexton reassigns Medicare benefits to 3 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA), Stanford Health Care (Stanford, CA) and Unm Medical Group Inc (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Sexton was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.