DR. MATTHEW R SEXTON M.D.
NPI 1396271201
Family Medicine in Lexington, NE
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 Lexington Regional Health Center, and is a graduate of University Of Nebraska College Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Sexton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, NE 68850
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1467417352 (Nebraska)
- 69 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lexington Regional Health Center
Critical Access Hospitals · Lexington, NEPhysician 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.
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.
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.
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 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.
Where is Matthew Sexton located?
Matthew Sexton practices at 1201 N Erie St, Lexington, NE 68850. The listed phone number is (308) 324-5651.
What is Matthew Sexton's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matthew Sexton enrolled in Medicare?
Yes. Matthew Sexton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Matthew Sexton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Sexton reassigns Medicare benefits to Lexington Regional Health Center (Lexington, NE). The 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 Matthew Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Sexton accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Matthew Sexton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Sexton affiliated with any hospitals?
According to CMS data, Matthew Sexton is affiliated with Lexington Regional Health Center.
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.
# Dr. Matthew R Sexton, M.D. · NPI 1396271201
Family Medicine physician in Lexington, Nebraska. Individual provider, active in the CMS NPPES registry since May 11, 2017.
## Identity
- **NPI:** 1396271201 (Entity type: Individual)
- **Enumerated:** May 11, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 7908 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 N ERIE ST, Lexington, NE 68850-1560
- **Phone:** (308) 324-5651 · **Fax:** (308) 324-8359
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lexington Regional Health Center (NPI 1316016165, Lexington, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** February 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396271201) · Data from the CMS NPPES public registry.