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JAMES F SEXTON MD
NPI 1760416879
Internal Medicine - Pulmonary Disease in Syracuse, NY

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
90 PRESIDENTIAL PLZ, FIRM C, SYRACUSE, NY 13202(315) 464-3835(315) 464-3837 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James F Sexton Md NPPES

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

JAMES F SEXTON MD (NPI 1760416879) is an individual pulmonary disease provider in Syracuse, New York, licensed in New York (212277) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of Medical College Of Ohio (1989).

NPPES Registry Identity

NPI1760416879
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJAMES F SEXTONCredential: MD
Location Address90 PRESIDENTIAL PLZ, FIRM CSyracuse, NY 13202-2240
Mailing Address90 Presidential Plz, Firm CSyracuse, NY 13202-2240 · (315) 464-3835 · Fax (315) 464-3837
Phone(315) 464-3835
Fax(315) 464-3837
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1989
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 20, 2010
✔ NPI 1760416879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 212277
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 212277 (NY)
90 PRESIDENTIAL PLZ, Syracuse, NY 13202
Open in Google Maps ↗

Other Identifiers 3

Medicare PINP290011292NY
Medicare PINBB2263NY
Medicaid01876526NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

James F Sexton Md 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 ID8921088832
PECOS Enrollment IDI20040721001630
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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
126 services49 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
29 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330079
Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County
Emergency services Birthing friendly

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13202 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$90.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JANICE M AGEN NP
Nurse Practitioner
90 PRESIDENTIAL PLZ, 3RD FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-5210
GRETA JASINSKI
Physician Assistant
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-4470
FRANCES I SWIECKI NP
Nurse Practitioner
90 PRESIDENTIAL PLZ, 5TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-9335
JULIANN MELLEN
Dietitian, Registered
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-3716
ROBERT R. MICHIEL MD
Internal Medicine (Cardiovascular Disease)
90 PRESIDENTIAL PLZ, 5TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-9335
DEBORAH Y BRADSHAW M.D.
Psychiatry & Neurology (Neurology)
90 PRESIDENTIAL PLZ, 4TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-4243
AYDAN KAHRIMAN
Student in an Organized Health Care Education/Training Program
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-4243
MERIBETH A OGRINC MD
Internal Medicine (Rheumatology)
90 PRESIDENTIAL PLZ, RHEUMATOLOGY, FIRM C
SYRACUSE, NY 13202
Onondaga County (315) 464-3836

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 James Sexton's NPI number?

The NPI number for James Sexton is 1760416879. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is James Sexton located?

James Sexton practices at 90 Presidential Plz Firm C, Syracuse, NY 13202. The listed phone number is (315) 464-3835.

What is James Sexton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Sexton enrolled in Medicare?

Yes. James 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 James Sexton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list James 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 James Sexton affiliated with any hospitals?

According to CMS data, James Sexton is affiliated with Adirondack Medical Center - Saranac Lake, Canton-Potsdam Hospital, Oswego Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for James Sexton was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.