NPIMap

Individual provider Active NPI

Gregory S Sextro, M.D.

  • Orthopaedic Surgery Physician
  • Grand Island, NE
National Provider Identifier
1104829563
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
21854 Issued in NE
Practice address
620 N Diers Ave
Ste. 200
Grand Island, NE 68803-4984
Phone
(308) 384-5400
Fax
(308) 384-5201
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 21854 NE Primary

Addresses

Primary practice location

620 N Diers Ave
Ste. 200
Grand Island, NE 68803-4984

Mailing address

620 N Diers Ave
Ste. 200
Grand Island, NE 68803-4984
Phone (308) 384-5400

Other identifiers 1

IdentifierTypeStateIssuer
06189OtherNEBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000855 NE Practitioner - Orthopedic Surgery 0345130290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Mayo Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Nebraska Orthopedics and Sports Medicine PCGroup PAC ID 8123077518, 13 clinicians

Practice addresses (Care Compare)

620 N Diers Ave
Grand Island, NE 68803-4984
Phone (308) 384-5400

Hospital & facility affiliations

  • Jennie M Melham Memorial Medical Center Hospital, Broken Bow, NE, CCN 281365
  • Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
  • Valley County Health System Hospital, Ord, NE, CCN 281353
  • CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023
  • Howard County Medical Center Hospital, St Paul, NE, CCN 281338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement52
Knee replacement61
Lower limb (leg) arthroscopy (minimally invasive joint repair)25
Upper limb (arm) arthroscopy (minimally invasive joint repair)38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nebraska Orthopedics & Sports Medicine, P.C. Orthopaedic Surgery CurrentSince Jul 1, 2004 Accepting new patients
Bainbridge Orthopaedic Clinic Orthopaedic Surgery Past Accepting new patients
Foot & Ankle Clinic of Central Nebraska PC PastSince Jul 1, 2004 Accepting new patients
Jennie M Melham Memorial Medical Center Inc Past Accepting new patients

Locations

620 N Diers Ave
Grand Island, NE 68803
Phone (308) 384-5400

620 N Diers Ave
Ste 200
Grand Island, NE 68803
Phone (308) 244-4111

Interoperability endpoints

  • Direct secure messaging: gregory.sextro.p1@direct.cnorthopedics.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grand Island Regional Medical CenterGrand Island, NE, CCN 280139 Hospital Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1104829563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N DIERS AVE",
            "address_2": "STE. 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034984",
            "telephone_number": "308-384-5400",
            "fax_number": "308-384-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N DIERS AVE",
            "address_2": "STE. 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034984",
            "telephone_number": "308-384-5400",
            "fax_number": "308-384-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTRO",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "21854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "06189",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.