Active NPI 1174940456 Individual Practitioner Female Practitioner

Nycolle Sexton , PA-C

Physician Assistant • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nycolle Sexton, PA-C is a certified Physician Assistant practicing in Springfield, MO. With approximately 13 years of clinical experience since completing medical education in 2013, Nycolle Sexton delivers high-quality medical care to the local community at 1965 S FREMONT AVE.

Nycolle Sexton is affiliated with Mercy Clinic Springfield Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, partial removal of breast, insertion of abdominal cavity catheter using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1965 S Fremont Ave
Ste 100

Springfield, MO 658042201

Telephone 4178203800

Associated Practice Facility / Clinic

🏢 Mercy Hospital Springfield Facility NPI 1982644514

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, MO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +3.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 10.3 Yrs

Regional Practice Density

235 Specialists

Practicing in Springfield, MO (1802 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sexton (13 Years) 13 Yrs

Springfield Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$81.00	$42.88
19301 Partial removal of breast	19	19	$483.54	$89.99
49324 Insertion of abdominal cavity catheter using an endoscope	15	14	$442.80	$48.91
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$132.00	$65.36
47562 Removal of gallbladder using an endoscope	12	12	$625.80	$83.81
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$127.91	$66.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$75.08	$44.46
49324 Insertion of abdominal cavity catheter using an endoscope	20	20	$445.14	$49.04
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$120.00	$71.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$172.72	$101.77
47562 Removal of gallbladder using an endoscope	12	12	$625.80	$85.60
49505 Repair of groin hernia (5 years or older)	11	11	$472.25	$70.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49324 Insertion of abdominal cavity catheter using an endoscope	24	24	$447.51	$48.19
47562 Removal of gallbladder using an endoscope	22	22	$625.80	$84.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$70.00	$41.37
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$114.00	$72.23
19301 Partial removal of breast	14	13	$417.60	$86.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$166.00	$89.51
49650 Repair of groin hernia using an endoscope	11	11	$627.33	$64.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	18	$69.49	$44.76
49324 Insertion of abdominal cavity catheter using an endoscope	28	28	$452.25	$48.65
47562 Removal of gallbladder using an endoscope	22	22	$625.80	$87.11
49436 Creation of abdominal cavity catheter exit site	15	15	$553.00	$153.77
99221 Initial hospital inpatient care per day, typically 30 minutes	15	13	$191.00	$82.60
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$112.46	$70.20
49505 Repair of groin hernia (5 years or older)	12	12	$468.98	$71.69
19303 Total removal of breast	12	12	$786.67	$142.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49324 Insertion of abdominal cavity catheter using an endoscope	29	29	$454.50	$51.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	11	$134.00	$60.48
47562 Removal of gallbladder using an endoscope	11	11	$625.80	$78.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$110.00	$59.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	17	$134.00	$60.35
47562 Removal of gallbladder using an endoscope	18	18	$625.80	$86.66
46600 Diagnostic examination of the anus using an endoscope	17	14	$179.71	$74.48
49324 Insertion of abdominal cavity catheter using an endoscope	16	16	$454.50	$50.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$161.00	$87.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	22	$134.00	$59.65
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	18	18	$1146.90	$174.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$252.00	$112.16
47562 Removal of gallbladder using an endoscope	13	13	$625.80	$84.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	25	$134.00	$58.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$252.00	$109.93
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	22	22	$165.30	$25.34
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	21	21	$1163.29	$173.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$320.00	$164.91
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	11	11	$1530.00	$242.69

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2014008954

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1174940456 (MO)

Hospital & Practice Group Affiliations

Mercy Clinic Springfield Communities

1605 Martin Springs Dr, Rolla, MO 654012980

Mercy Clinic Springfield Communities

1235 E Cherokee St, Springfield, MO 658042203

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Dr. Robert Cavagnol , MD

Surgery

NPI 1043273188

Doctor of Medicine (M.D.)

Dr. Hugh Lundman , MD

Surgery

NPI 1063438125

Doctor of Medicine (M.D.)

Christopher Chaffin , PA

Physician Assistant

NPI 1104129436

Physician Assistant

Ami Rohr , FNP

Nurse Practitioner - Pediatrics

NPI 1124434535

Family Nurse Practitioner

Dr. Christopher Edwards , MD

Surgery

NPI 1134296569

Doctor of Medicine (M.D.)

Chase Thompson , PA-C

Physician Assistant

NPI 1194301457

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2015

Registered at 1965 S FREMONT AVE, STE 100, SPRINGFIELD, MO 658042201 (Tel: 4178203800)

📍

Updated Business Mailing Address November 23, 2015

Registered at PO BOX 505164, SAINT LOUIS, MO 631505164 (Tel: 4178294620)

👤

Provider Name / Credentials Updated November 23, 2015

Recorded as NYCOLLE SEXTON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2015

Physician Assistant (License #2014008954 in MO)

🟢

Initial NPI Registration & Enumeration March 25, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174940456

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 25, 2014

Last Update: November 23, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 505164

Saint Louis, MO 631505164

Phone: 4178294620

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.