DAVID G SEXTON M.D.
NPI 1487658969
Otolaryngology in Knoxville, TN

Q: What is David Sexton's NPI number?

The NPI number for David Sexton is 1487658969. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is David Sexton's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for David Sexton was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 13, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

9430 PARK WEST BLVD, STE 330, KNOXVILLE, TN 37923(865) 693-6065(865) 531-6325 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About David G Sexton M.d. NPPES

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

DAVID G SEXTON M.D. (NPI 1487658969) is an individual otolaryngology provider in Knoxville, Tennessee, licensed in Tennessee (13649) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Fort Sanders Regional Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1981).

NPPES Registry Identity

NPI1487658969

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDAVID G SEXTONCredential: M.D.

Location Address9430 PARK WEST BLVD, STE 330Knoxville, TN 37923-4203

Mailing AddressPo Box 31547Knoxville, TN 37930-1547 · (865) 693-6065 · Fax (865) 531-6325

Phone(865) 693-6065

Fax(865) 531-6325

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1981

Enumeration DateJune 13, 2005

Last NPPES UpdateNovember 5, 2007

✔ NPI 1487658969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TN · 13649

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

9430 PARK WEST BLVD, Knoxville, TN 37923

Open in Google Maps ↗

Other Identifiers 3

Medicaid3019629TN

Medicare PIN3019627

Medicare UPINA98340TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

David G 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 ID9234323262

PECOS Enrollment IDI20101105000003

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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

310 services225 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

192 services151 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

165 services165 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

132 services103 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

113 services96 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

41 services39 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

27 services26 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

26 services25 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

24 services24 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

22 services22 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

22 services22 patients

Removal of nasal sinus tissue using an endoscope 31267

This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.

19 services19 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

18 services16 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440125

Location1901 W Clinch AveKnoxville, TN 37916 · Knox County

Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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.

75/100

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

Scored as part of a group practice

Leave this field empty

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 LONG ROBINSON P.T.

Physical Therapist

9430 PARK WEST BLVD, STE 235
KNOXVILLE, TN 37923

Knox County (865) 560-8550

DR. CLIFFORD Q JOHNSON,JR M.D.

Otolaryngology

9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923

Knox County (865) 693-6065

KATHRYN MARTON NP

Nurse Practitioner

9430 PARK WEST BLVD, SUITE 130
KNOXVILLE, TN 37923

Knox County (865) 690-4861

TENNESSEE EAR, NOSE & THROAT CONSULTANTS, PC

Otolaryngology

9430 PARK WEST BLVD, SUITE 330
KNOXVILLE, TN 37923

Knox County (865) 693-6065

DR. PAUL T NAYLOR MD

Orthopaedic Surgery

9430 PARK WEST BLVD, SUITE 130
KNOXVILLE, TN 37923

Knox County (865) 690-4861

OLIVIA M GUTHRIE PA

Physician Assistant (Medical)

9430 PARK WEST BLVD, SUITE 110
KNOXVILLE, TN 37923

Knox County (865) 694-8353

JILL COLE GRESHAM AUDIOLOGIST

Audiologist

9430 PARK WEST BLVD, SUITE 330
KNOXVILLE, TN 37923

Knox County (865) 693-6065

MITCHELL J REYNOLDS PT

Physical Therapist

9430 PARK WEST BLVD, SUITE 230
KNOXVILLE, TN 37923

Knox County (865) 690-4861

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 David Sexton's NPI number?

The NPI number for David Sexton is 1487658969. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is David Sexton located?

David Sexton practices at 9430 Park West Blvd Ste 330, Knoxville, TN 37923. The listed phone number is (865) 693-6065.

What is David Sexton's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is David Sexton enrolled in Medicare?

Yes. David 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.

What insurance does David Sexton accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list David 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 David Sexton affiliated with any hospitals?

According to CMS data, David Sexton is affiliated with Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for David Sexton was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.