Physician

Scott E Sexton, M.D.

According to 2025 Medicare claims, Scott Sexton, M.D. (NPI: 1770515520) practices orthopedic surgery in the Allentown-Bethlehem-Easton, PA-NJ market, with the plurality of this provider's patient population coming from Northampton, PA. This provider's primary affiliated billing organization is LEHIGH VALLEY PHYSICIAN GROUP (NPI: 1598160905; TIN: 232700908) and primary practice location at 18045-2355. Sexton is affiliated with the Lehigh Valley Health Network Accountable Care Organization, LLC (ACO ID: A2735), participating under the MSSP model.

Sexton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 386 traditional Medicare patients, billed 11,854 HCPCS/CPT codes, and received $176,641 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 236 prescription claims across 65 beneficiaries totaling $30,740 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). 2022 DME data shows 11 claims. Open Payments data shows 26 records totaling $4,214. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $293,349 to $176,641. In contrast, Part D prescription costs have risen steadily, from $7,621 to $30,740. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $10,328 and ending at $12,115.