MATTHEW SEXTON (M.D.) – Critical Care Medicine (Anesthesiology) Physician, NPI 1013326149
Critical Care Medicine (Anesthesiology) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
251 CRITICAL CARE (INTENSIVISTS) in KY
Provider Addresses for MATTHEW SEXTON (M.D.)
PO BOX 432
PIKEVILLE, KY 415020432
Phone: (606) 430-3500
Fax: (606) 437-1033
Type: Mailing
911 BYPASS RD BLDG A
PIKEVILLE, KY 415011602
Phone: (606) 430-3500
Fax: (606) 437-1033
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Medline Industries LP ($15).
Total Amount
$28
General + Research + Ownership
Payments
2
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $15 |
| La Jolla Pharmaceutical Company | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231019000727 | I | Critical Care (Intensivists) | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 219 | 88 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 57 | 40 | $0 |
Insurance plans in this area (ZIP 41502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Hematology/Oncology, Internal Medicine | KY | |
| - | KY | |
| Physician Assistant | KY | |
| Critical Care (Intensivists) | OH | |
| Emergency Medicine | OH | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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