Mr Scott E Sexton, MD - Medicare Orthopedic Surgery in Allentown, PA

Mr Scott E Sexton, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Allentown, Pennsylvania. He went to Rutgers New Jersey Medical School and graduated in 2000 and has 24 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Lehigh Valley Physician Group and his current practice location is 1250 South Cedar Crest Blvd, Suite 110, Allentown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 435-1003.

Mr Scott E Sexton is licensed to practice in Pennsylvania (license number MD431498) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770515520.

Contact Information

Mr Scott E Sexton, MD
1250 South Cedar Crest Blvd, Suite 110,
Allentown, PA 18103
(610) 435-1003
(610) 435-3184

Map and Direction




Physician's Profile

Full NameMr Scott E Sexton
GenderMale
SpecialityOrthopedic Surgery
Experience24 Years
Location1250 South Cedar Crest Blvd, Allentown, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Scott E Sexton attended and graduated from Rutgers New Jersey Medical School in 2000
  NPI Data:
  • NPI Number: 1770515520
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 07/08/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3173520434
  • Enrollment ID: I20070726000210

Medical Identifiers

Medical identifiers for Mr Scott E Sexton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770515520NPI-NPPES
P00423452OtherPARAILROAD MEDICARE
1019534770001MedicaidPA
110542OtherPAGEISINGER
231857130OtherDEVON
2853107000OtherPAINDEPENDENCE BLUE CROSS
821880OtherPAFIRST PRIORITY HEALTH
1972401OtherPABLUE SHIELD
7491817OtherPAAETNA
50070979OtherPACAPITAL BLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD431498 (Pennsylvania)Secondary
207XX0801XOrthopaedic Surgery - Orthopaedic Trauma MD431498 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley HospitalAllentown, PAHospital
Schuylkill Medical Center - South Jackson StreetPottsville, PAHospital
Lehigh Valley Hospital - HazletonHazleton, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251231763

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Scott E Sexton allows following entities to bill medicare on his behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335
Entity NameHazleton Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952464638
PECOS PAC ID: 8022110402
Enrollment ID: O20070305000195

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Scott E Sexton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Scott E Sexton, MD
1250 South Cedar Crest Blvd, Suite 110,
Allentown, PA 18103

Ph: (610) 435-1003
Mr Scott E Sexton, MD
1250 South Cedar Crest Blvd, Suite 110,
Allentown, PA 18103

Ph: (610) 435-1003

Reviews and Comments


Orthopaedic Surgery Doctors in Allentown, PA

Mitchell E Cooper, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1250 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103
Phone: 610-435-1003    Fax: 610-435-3184
Lawrence E Weiss, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Cetronia Rd, Allentown, PA 18104
Phone: 610-973-6200    Fax: 866-644-0894
Thomas D Dibenedetto, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1250 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103
Phone: 610-435-1003    Fax: 610-435-3184
Robert C. Palumbo, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Cetronia Road, Suite 303, Allentown, PA 18104
Phone: 610-973-6200    Fax: 610-973-6546
Dr. Anthony C Falvello, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103
Phone: 610-402-8900    
Stephen P Falatyn, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Cetronia Road, Suite 303, Allentown, PA 18104
Phone: 610-973-6200    Fax: 610-973-6546
Dr. Gabriel Edward Lewullis, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1250 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103
Phone: 610-402-8900    Fax: 610-402-5656

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.