2026 NPPES data Family Nurse Practitioner NPI 1205405883 NP-C
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LAUREL SEXTON, NP-C

Family Nurse Practitioner in QUINCY, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
263
Medicare Part D claims · 53 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$104.42
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LAUREL SEXTON, NP-C filed 263 Medicare Part D claims in 2023 as a Family Nurse Practitioner in QUINCY, Illinois, prescribing 65% generic.

263
Part D claims, 2023
65%
generic prescribing
$104.42
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

LAUREL SEXTON, NP-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

263 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about LAUREL SEXTON, NP-C?

Quality data not reported

NPI registry status

Active

Issued 06/18/2021

NPI 1205405883

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

263 78% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Illinois

How Family Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Family Nurse Practitioner share within Illinois

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

LAUREL SEXTON, NP-C appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding NP-C credentials at 1107 COLLEGE AVE, QUINCY, IL, 62301, with a listed phone of (217) 214-5800. NPI 1205405883 was issued on 06/18/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEXTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 263 prescription claims written by this provider, covering 53 Medicare beneficiaries and totaling roughly $100K in drug spend, split 35% brand-name and 65% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1107 COLLEGE AVE
QUINCY, IL 62301

Provider Details

NPI 1205405883
Specialty Family Nurse Practitioner
Credentials NP-C
Gender Female
NPI Issued 06/18/2021

Hospital and facility affiliations

Facilities where LAUREL SEXTON, NP-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BLESSING HOSPITAL
★★★★☆ 4/5
QUINCY, IL
Acute Care Hospitals
CMS CCN: 140015

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for LAUREL SEXTON, NP-C. Source: openpaymentsdata.cms.gov.

Total received

$104

Largest payer

Lilly USA, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to LAUREL SEXTON, NP-C. To verify LAUREL SEXTON, NP-C's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

LAUREL SEXTON, NP-C — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 263 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

263
Total Claims
$100K
Total Drug Cost
53
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
319
Total Day Supply
8,733
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$96K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
58.5 years
Avg HCC Risk Score
1.54
Age Distribution
<65: 35, 65-74: 16, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What LAUREL SEXTON, NP-C prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ozempic
Semaglutide
60
Topiramate
36
Pantoprazole Sodium
25
Metformin Hcl
23
Omeprazole
21
Mounjaro
Tirzepatide
16
Ursodiol
16
Naltrexone Hcl
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Nurse Practitioner Overview

How LAUREL SEXTON, NP-C fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

LAUREL SEXTON, NP-C's 263 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as SEXTON.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAUREL SEXTON, NP-C's specialty?
LAUREL SEXTON, NP-C specializes in Family Nurse Practitioner and practices in QUINCY, Illinois. Credentials: NP-C.
How much does LAUREL SEXTON, NP-C prescribe under Medicare Part D?
In 2023, LAUREL SEXTON, NP-C wrote 263 Medicare Part D claims totaling $100K in drug costs for 53 beneficiaries.
Where is LAUREL SEXTON, NP-C located?
LAUREL SEXTON, NP-C is located at 1107 COLLEGE AVE, QUINCY, IL, 62301. Phone: (217) 214-5800.
What is LAUREL SEXTON, NP-C's NPI number?
LAUREL SEXTON, NP-C's National Provider Identifier (NPI) is 1205405883, issued on 06/18/2021.
Does LAUREL SEXTON, NP-C prescribe more brand-name or generic drugs?
LAUREL SEXTON, NP-C's prescribing is 35% brand-name and 65% generic drugs by claim count, with $96K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does LAUREL SEXTON, NP-C prescribe most often?
Based on 2023 Medicare Part D data, LAUREL SEXTON, NP-C's most frequently prescribed drugs include Ozempic, Topiramate, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAUREL SEXTON, NP-C accept Medicare?
LAUREL SEXTON, NP-C appears in CMS Medicare data with 263 Part D claims and 53 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAUREL SEXTON, NP-C's credentials?
LAUREL SEXTON, NP-C's NPI is 1205405883 with credentials NP-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology