DR. MICHAEL JOHN SEXTON D.O.
NPI 1548240963
Obstetrics & Gynecology in Huntersville, NC
About Dr. Michael John Sexton D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL JOHN SEXTON D.O. (NPI 1548240963) is an individual obstetrics & gynecology provider in Huntersville, North Carolina, licensed in North Carolina (2018-00816) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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. Michael John Sexton D.o. 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 Michael Sexton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Huntersville, NC 28078
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1780141598 (North Carolina)
- 2,998 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
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.
Novant Health Presbyterian Medical Center
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTERSVILLE, NC 28078
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 Michael Sexton's NPI number?
The NPI number for Michael Sexton is 1548240963. It was assigned to this individual provider in the NPPES registry on January 20, 2006.
Where is Michael Sexton located?
Michael Sexton practices at 9930 Kincey Ave Ste 360, Huntersville, NC 28078. The listed phone number is (704) 316-4830.
What is Michael Sexton's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Michael Sexton enrolled in Medicare?
Yes. Michael 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 Michael Sexton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sexton reassigns Medicare benefits to Novant Health Medical Group, LLC (Huntersville, 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 Michael Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Sexton accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Michael 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 Michael Sexton affiliated with any hospitals?
According to CMS data, Michael Sexton is affiliated with Novant Health Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Sexton was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Michael John Sexton, D.O. · NPI 1548240963
Obstetrics & Gynecology physician in Huntersville, North Carolina. Individual provider, active in the CMS NPPES registry since January 20, 2006.
## Identity
- **NPI:** 1548240963 (Entity type: Individual)
- **Enumerated:** January 20, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 2018-00816 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 9930 KINCEY AVE STE 360, Huntersville, NC 28078-6541
- **Phone:** (704) 316-4830 · **Fax:** (704) 316-4831
## 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:** Novant Health Medical Group, LLC (NPI 1295390086, Huntersville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 31, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1548240963) · Data from the CMS NPPES public registry.