DR. NICHOLES SEXTON (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1205815594
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
88 SPORTS MEDICINE in OR
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Provider Addresses for DR. NICHOLES SEXTON (M.D.)
277, Medical Loop, Roseburg, Douglas County, Oregon, 97470, United States
ROSEBURG, OR 974711644
Phone: (541) 677-2131
Fax: (541) 677-2136
Type: Mailing
13837 CIRCA CROSSING DR
LITHIA, FL 335474382
Phone: (813) 684-2663
Fax: (813) 658-6222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $1,805.
Total Amount is formed as General ($1,805) + Research ($0) + Ownership ($0) = $1,805.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Arthrex, Inc. ($642).
Total Amount
$1,805
General + Research + Ownership
Payments
30
Total payment records
General Amount
$1,805
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $642 |
| Coastal Medical Technologies Llc | $513 |
| Coastal Medical Technologies LLC | $326 |
| Stryker Corporation | $200 |
| Smith+Nephew, Inc. | $83 |
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: 2022-09-21
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 |
|---|---|---|---|---|
| I20220921002127 | I | Sports Medicine | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 143 | 101 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 82 | 82 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 60 | 53 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 51 | 46 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 51 | 41 | $0 |
Insurance plans in this area (ZIP 97471)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OR | 20610 | Aspiration and/or injection of large joint or joint capsule | 53 | 41 |
| ORTHOPEDIC SURGERY | OR | 64721 | Release and/or relocation of median nerve of hand | 13 | 11 |
| ORTHOPEDIC SURGERY | OR | 73110 | X-ray of wrist, minimum of 3 views | 17 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MD | |
| - | FL | |
| Orthopedic Surgery | PA | |
| Orthopedic Surgery | FL | |
| Sports Medicine, Orthopedic Surgery | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery, Neurosurgery | TX |
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