DAVID G SEXTON (M.D.) – Otolaryngology Physician, NPI 1487658969
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
288 OTOLARYNGOLOGY in TN
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Provider Addresses for DAVID G SEXTON (M.D.)
PO BOX 31547
KNOXVILLE, TN 379301547
Phone: (865) 693-6065
Fax: (865) 531-6325
Type: Mailing
9430, Park West Boulevard, Knoxville, Knox County, Tennessee, 37923, United States
STE 330
KNOXVILLE, TN 379234203
Phone: (865) 693-6065
Fax: (865) 531-6325
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $519.
Total Amount is formed as General ($519) + Research ($0) + Ownership ($0) = $519.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GENZYME CORPORATION ($242).
Total Amount
$519
General + Research + Ownership
Payments
24
Total payment records
General Amount
$519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $242 |
| Regeneron Healthcare Solutions, Inc. | $99 |
| Olympus America Inc. | $52 |
| Optinose US, Inc. | $36 |
| Acclarent, Inc | $33 |
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: 2010-11-05
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 |
|---|---|---|---|---|
| I20101105000003 | I | Otolaryngology | TN | 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 | 280 | 214 | $0 |
| 69210 | Removal of impacted ear wax | 213 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 190 | 146 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 150 | 150 | $0 |
| 70486 | Ct scan of face without contrast | 108 | 89 | $0 |
Insurance plans in this area (ZIP 37930)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | TN | 92567 | Eardrum testing using ear probe | 59 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| O T O L A R Y N G O L O G Y | TN | |
| - | TN | |
| Qualified Audiologist | TN | |
| Qualified Audiologist | MN | |
| - | TN | |
| Qualified Audiologist | TN | |
| O T O L A R Y N G O L O G Y | KY | |
| Qualified Audiologist | TN | |
| - | TN |
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