JOHN D SEXTON CRNA
NPI 1649345992
Nurse Anesthetist, Certified Registered in Sharpsburg, GA

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
35 HIGH ST, SHARPSBURG, GA 30277(770) 463-9537 Get Directions Write a Review

NPPES record last updated: February 9, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John D Sexton Crna NPPES

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

JOHN D SEXTON CRNA (NPI 1649345992) is an individual nurse anesthetist, certified registered in Sharpsburg, Georgia, licensed in Georgia (RN140969) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1649345992
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOHN D SEXTONCredential: CRNA
Location Address35 HIGH STSharpsburg, GA 30277-1509
Mailing Address35 High StSharpsburg, GA 30277-1509 · (770) 463-9537
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 22, 2006
Last NPPES UpdateFebruary 9, 2010
✔ NPI 1649345992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN140969
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
35 HIGH ST, Sharpsburg, GA 30277

Other Identifiers 4

Medicaid200430470AKS
Medicare PIN145478KS
Medicare UPINS62845
Medicare PING1556XFL

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

John D Sexton Crna 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 ID1557461027
PECOS Enrollment IDI20071018000207
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 Reassignments

15

Medicare enrollment records show John Sexton reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1265 HIGHWAY 54 W STE 401
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 81 clinicians in this Medicare group
Multi-Specialty
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Anesthesiology
95 COLLIER RD NW, SUITE 4075
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 83 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3280 HOWELL MILL RD NW STE T150
Atlanta, GA 30327
  • Reassigned Medicare billing, Georgia enrollment
  • 38 clinicians in this Medicare group
Anesthesiology
183 MYSTIC PLACE NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 201 clinicians in this Medicare group
Gastroenterology
711 CANTON RD NE, SUITE 300
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 51 clinicians in this Medicare group
Anesthesiology
2171 WEST PARK COURT, SUITE A
Stone Mountain, GA 30087
  • Reassigned Medicare billing, Georgia enrollment
  • 650 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2324 LIMESTONE OVERLOOK STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 110 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 4

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
79 services79 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
71 services71 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
51 services50 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30277 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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 John Sexton's NPI number?

The NPI number for John Sexton is 1649345992. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is John Sexton located?

John Sexton practices at 35 High St, Sharpsburg, GA 30277. The listed phone number is (770) 463-9537.

What is John Sexton's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is John Sexton enrolled in Medicare?

Yes. John 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 organizations bill Medicare for John Sexton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Sexton reassigns Medicare benefits to 15 organizations: Progressive Anesthesia LLC (Fayetteville, GA), Grady Memorial Hospital Corporation (Atlanta, GA), Greater Atlanta Anesthesia, LLC (Atlanta, GA), Northern Georgia Anesthesia Associates, LLC (Atlanta, GA), Concordia Anesthesiology, Inc (Atlanta, GA) and 10 more organizations, listed in the Medicare section above. Each 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 John Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Sexton accept?

Health plans from Oscar Insurance Company list John 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.

When was this NPI record last updated?

The NPPES record for John Sexton was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.