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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: October 18, 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 Canton-potsdam Hospital, 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

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

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.

Medicare Billing Reassignments

6

Medicare enrollment records show James Sexton reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
0.3 mi
Internal Medicine
750 E ADAMS ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 434 clinicians in this Medicare group
NPI 1063468239 (315) 464-4505
Upstate Community Medical, PC
2.8 mi
Hospitalist
4900 BROAD RD
Syracuse, NY 13215
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1689620163 (315) 492-5305
Physician Care PC
34 mi
Internal Medicine
110 W 6TH ST
Oswego, NY 13126
  • Reassigned Medicare billing, New York enrollment
  • 70 clinicians in this Medicare group
NPI 1073868113 (315) 349-5511
Nicholas H. Noyes Memorial Hospital
86 mi
General Acute Care Hospital
111 CLARA BARTON ST
Dansville, NY 14437
  • Reassigned Medicare billing, New York enrollment
  • 275 clinicians in this Medicare group
NPI 1982625661 (585) 335-6001
Canton-Potsdam Hospital
127 mi
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
NPI 1568548782 (315) 265-3300
Dkt Physician PLLC
Sleep Medicine
6319 FLY RD STE 2
East Syracuse, NY 13057
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1902430499 (315) 937-5797

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 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 3

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

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.

Which organizations bill Medicare for James Sexton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Sexton reassigns Medicare benefits to 6 organizations: Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY), Upstate Community Medical, PC (Syracuse, NY), Physician Care PC (Oswego, NY), Nicholas H. Noyes Memorial Hospital (Dansville, NY), Canton-Potsdam Hospital (Potsdam, NY) and 1 more organization, 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 James Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Sexton affiliated with any hospitals?

According to CMS data, James Sexton is affiliated with 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 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.