Individual provider Active NPI

Thomas J Sexton, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1568027829
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA202053 Issued in OR
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

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500787890MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119002513 OR Practitioner - Physician Assistant 7214340975 Reassigns benefits to 1 organization

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
Orthopedic and Sports Medicine Center of Oregon LLCGroup PAC ID 3678537602, 16 clinicians

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

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center of Oregon LLC CurrentSince Apr 10, 2023 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.