Amber Dawn Sexton, DO
NPI 1013412329ActiveIndividual· Family Medicine· Sandy Hook, KY
Family Medicine (DO) with St. Claire Medical Center Inc, practicing in Sandy Hook, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $1,106,189 for 12,948 claims, against $5,284 paid for services in 2024. Lists St Claire Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1013412329 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 28, 2018 |
| Last updated in NPPES | Aug 6, 2021 |
| Certified by provider | Aug 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 04999 | KY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 97 across 20 procedure codes |
| Paid by Medicare | $5,284 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,948 · 20,590 30-day fills |
|---|---|
| Patients | 538 |
| Total drug cost | $1,106,189 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- St. Claire Medical Center IncMorehead, KY · 189 clinicians
Hospital affiliation
- St Claire Regional Medical CenterMorehead, KY
Other facilities
- St. Claire Medical Center Home HealthHome health agency · Morehead, KY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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