PERRY WAYNE SEXTON MD
NPI 1972665339
Family Medicine in Encinitas, CA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
351 SANTA FE DR STE 101, ENCINITAS, CA 92024(760) 274-1385(760) 274-1388 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Perry Wayne Sexton Md NPPES

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

PERRY WAYNE SEXTON MD (NPI 1972665339) is an individual family medicine provider in Encinitas, California, licensed in California (A94937) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2001).

NPPES Registry Identity

NPI1972665339
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePERRY WAYNE SEXTONCredential: MD
Location Address351 SANTA FE DR STE 101Encinitas, CA 92024-5137
Mailing Address351 Santa Fe Dr, 101Encinitas, CA 92024-5137 · (760) 274-1385 · Fax (760) 274-1388
Fax(760) 274-1388
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2001
Enumeration DateDecember 14, 2006
Last NPPES UpdateDecember 5, 2017
NPI 1972665339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A94937
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
351 SANTA FE DR STE 101, Encinitas, CA 92024

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

Perry Wayne 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 ID1557443785
PECOS Enrollment IDI20080128000358
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 21

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.
369 services185 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
356 services55 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.
268 services60 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
235 services235 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
219 services219 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
185 services185 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers16 claims16 services$34.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Perry Sexton's NPI number?

The NPI number for Perry Sexton is 1972665339. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Perry Sexton located?

Perry Sexton practices at 351 Santa Fe Dr Ste 101, Encinitas, CA 92024. The listed phone number is (760) 274-1385.

What is Perry Sexton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Perry Sexton enrolled in Medicare?

Yes. Perry 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.

When was this NPI record last updated?

The NPPES record for Perry Sexton was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.