Active NPI
Thomas J Sexton, PA-C
- Physician Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA202053
- Practice address
- 1515 NW 18TH Ave Ste 300
Portland, OR 97209-2539 - Phone
- (503) 224-8399
- Fax
- (503) 224-5661
- NPI assigned
- May 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA202053 | OR | Primary |
Addresses
Primary practice location
1515 NW 18TH Ave Ste 300
Portland, OR 97209-2539
Mailing address
1515 NW 18TH Ave Ste 300
Portland, OR 97209-2539
Phone (503) 224-8399
Other practice location 1
5050 NE Hoyt St Ste 668
Portland, OR 97213-2990
Phone (503) 224-8399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500787890 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17355 Lower Boones Ferry Rd
Suite 100a
Lake Oswego, OR 97035-2539
Phone (503) 224-8399
17355 Lower Boones Ferry Rd
Suite 100a
Lake Oswego, OR 97035-5202
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sports Medicine Center of Oregon LLC | Current | Accepting new patients |
Locations
17355 Boones Ferry Rd
Ste 100A
Lake Oswego, OR 97035
Phone (503) 256-5866
1515 NW 18th Ave
Ste 300
Portland, OR 97209
Phone 5032248399122
5050 NE Hoyt St
Ste 668
Portland, OR 97213
Phone (503) 239-7099
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Lake Oswego, OR
- NPI 1891734877
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1568027829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 NW 18TH AVE STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092539",
"telephone_number": "503-224-8399",
"fax_number": "503-224-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 NW 18TH AVE STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092539",
"telephone_number": "503-224-8399",
"fax_number": "503-224-5661"
}
],
"practiceLocations": [
{
"address_1": "5050 NE Hoyt St Ste 668",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132990",
"country_code": "US",
"telephone_number": "503-224-8399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEXTON",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2023-05-10",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA202053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500787890",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.