DR. MATTHEW R SEXTON M.D.
NPI 1396271201
Family Medicine in Lexington, NE

Q: What is Matthew Sexton's NPI number?

The NPI number for Matthew Sexton is 1396271201. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Matthew Sexton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Sexton was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment

98.3/100

CMS Quality Rating

1201 N ERIE ST, LEXINGTON, NE 68850(308) 324-5651(308) 324-8359 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2023, May 11, 2017 (2 updates tracked since 2017).

On this page

About Dr. Matthew R Sexton M.d. NPPES

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

DR. MATTHEW R SEXTON M.D. (NPI 1396271201) is an individual family medicine provider in Lexington, Nebraska, licensed in Nebraska (7908) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of University Of Nebraska College Of Medicine (2017).

NPPES Registry Identity

NPI1396271201

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MATTHEW R SEXTONCredential: M.D.

Location Address1201 N ERIE STLexington, NE 68850-1560

Mailing AddressPo Box 980Lexington, NE 68850-0980 · (308) 324-5651 · Fax (308) 324-8359

Phone(308) 324-5651

Fax(308) 324-8359

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2017

Enumeration DateMay 11, 2017

Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2023

✔ NPI 1396271201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 7908

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1201 N ERIE ST, Lexington, NE 68850

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew R Sexton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426322603

PECOS Enrollment IDI20200924000128

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services15 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280009

LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County

Emergency services Birthing friendly

Lexington Regional Health Center

Critical Access Hospitals · Lexington, NE

OwnershipGovernment - Hospital District or Authority

CMS Certification Number281361

LocationP O Box 980, 1201 North Erie StLexington, NE 68850 · Dawson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68850 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

TRACY J WEILAND LCSW

Counselor (Mental Health)