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RANDY SEXTON DO
NPI 1477586394
Emergency Medicine in Cherokee, NC

Active since July 07, 2006PECOS Enrolled
1 HOSPITAL RD, CALLER BOX C-268, CHEROKEE, NC 28719(828) 497-9163(828) 497-1723 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Randy Sexton Do NPPES

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

RANDY SEXTON DO (NPI 1477586394) is an individual emergency medicine provider in Cherokee, North Carolina, licensed in North Carolina (9601721) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477586394
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRANDY SEXTONCredential: DO
Location Address1 HOSPITAL RD, CALLER BOX C-268Cherokee, NC 28719-9253
Mailing Address1 Hospital Rd, Caller Box C-268Cherokee, NC 28719-9253 · (828) 497-9163 · Fax (828) 497-1723
Phone(828) 497-9163
Fax(828) 497-1723
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 20, 2016
✔ NPI 1477586394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 9601721
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 HOSPITAL RD, Cherokee, NC 28719
Open in Google Maps ↗

Other Identifiers 3

Other171TMNC · Bcbs
Medicare OSCAR/certification8TA291NC
Medicaid1477586394NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy Sexton Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Randy Sexton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Indian Hospital Authority
Same address
Ambulatory Surgical
1 HOSPITAL ROAD, CALLER BOX C-268
Cherokee, NC 28719
  • Reassigned Medicare billing, Texas enrollment
  • 161 clinicians in this Medicare group
NPI 1396119616 (828) 497-9163

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28719 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

ASHLEY KEEL
Peer Specialist
1 HOSPITAL RD, CALLER BOX C-268
CHEROKEE, NC 28719
Swain County (828) 497-9163
JUSTICE LEE LITTLEJOHN PSS
Peer Specialist
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
KYLEE SAVAGE
Physician Assistant
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
MRS. KELLIE LEIGH BROWN MSW, LCSW-A
Social Worker (Clinical)
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
AMANDA HARRIS LEDFORD
Physical Therapy Assistant
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
EMILY R MEEKS RD
Dietitian, Registered
1 HOSPITAL RD, 1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
ELIZABETH COLEMAN MCDONALD FNP-C
Nurse Practitioner (Family)
1 HOSPITAL RD, CALLER BOX C-268
CHEROKEE, NC 28719
Swain County (828) 497-9163
SHELBY CANNON HEATH M.S., CCC-SLP
Speech-Language Pathologist
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163

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 Randy Sexton's NPI number?

The NPI number for Randy Sexton is 1477586394. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Randy Sexton located?

Randy Sexton practices at 1 Hospital Rd Caller Box C-268, Cherokee, NC 28719. The listed phone number is (828) 497-9163.

What is Randy Sexton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Randy Sexton enrolled in Medicare?

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

Which organization bills Medicare for Randy Sexton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Sexton reassigns Medicare benefits to Cherokee Indian Hospital Authority (Cherokee, NC). 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 Randy 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 Randy Sexton was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.