PROVIDER PROFILE · NPI 1487658969

David SextonM.D.

OtolaryngologyKnoxville, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

946

Unique beneficiaries

—

Total services

1,129

Distinct HCPCS

Medicare payment

$97K

Peer benchmark

Total Medicare services vs. 167 Otolaryngology providers in TN — above median (cohort median 1,285).

PRESCRIBING · PART D · 2024

Total Rx claims

763

Beneficiaries

—

Total drug cost

$16K

Distinct drugs

Brand share

32.1%

Top prescribed drugs

Ipratropium Bromide143 claims

Prednisone138 claims

Amoxicillin/Potassium Clav105 claims

Ofloxacin58 claims

Hydrocodone/Acetaminophen43 claims

QUALITY · MIPS · 2024

Final MIPS score

75.0

Quality

0.0

Cost

0.0

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

0.00%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$247

Payment records

By payment type

Food and Beverage$247

REFERRAL NETWORK

Where David Sexton's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 6 inbound referrers · 16 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PARKWEST MEDICAL CENTER	76	222
Parkwest Surgery Center Llc Ambulatory Surgical Center · Knoxville, TN	24	71
METRO KNOXVILLE HMA LLC	23	36
Clifford Johnson,jr Otolaryngology · Knoxville, TN	14	28
Daryl Harp Diagnostic Radiology · Knoxville, TN	12	26
SEALS, MICHAEL	11	22

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PARKWEST MEDICAL CENTER	57	94
FORT SANDERS REGIONAL MEDICAL CENTER	42	84
METRO KNOXVILLE HMA LLC	24	33
Parkwest Surgery Center Llc Ambulatory Surgical Center · Knoxville, TN	23	48
Laboratory Corporation Of America Clinical Laboratory · Knoxville, TN	20	52
PATHOLOGY LABORATORIES WEST PLLC	17	56
Jeffrey Roesch Diagnostic Radiology · Knoxville, TN	16	32
Jonathan Hayes Otolaryngology · Knoxville, TN	14	68
UNIVERSITY HEALTH SYSTEM, INC.	13	44
Clifford Johnson,jr Otolaryngology · Knoxville, TN	13	26
Samuel Overholt Otolaryngology · Knoxville, TN	12	29
NPI 1861489403	12	19

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history