2026 NPPES data Dentist NPI 1366676603 D.M.D
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WILLIAM SEXTON, D.M.D

Dentist in MT STERLING, Kentucky. 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
1K
Medicare Part D claims · 562 beneficiaries · Dentist avg: 87
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$33.86
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

WILLIAM SEXTON, D.M.D filed 1,402 Medicare Part D claims in 2023 as a Dentist in MT STERLING, Kentucky, prescribing 99% generic.

1K
Part D claims, 2023
99%
generic prescribing
$33.86
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.

WILLIAM SEXTON, D.M.D's Medicare Part D volume vs every U.S. prescriber

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

1,402 Top 20% higher than 80% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). This entry sits in this band. 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 WILLIAM SEXTON, D.M.D?

Quality data not reported

NPI registry status

Active

Issued 05/13/2009

NPI 1366676603

Primary specialty

Dentist

High-volume

93,789 US NPIs in this specialty

Medicare Part D claims

1,402 1511% vs specialty avg

2023 prescription claims

Specialty avg: 87

Specialty distribution in Kentucky

How Dentist compares to other specialties among Kentucky providers

Kentucky providers

Dentist share within Kentucky

1. Dentist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dentist share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Dentist (ABMS / AOA reference)

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

Est. board-certified rate (Dentist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Dentist) — 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).

WILLIAM SEXTON, D.M.D appears in the CMS NPPES registry as a Dentist provider holding D.M.D credentials at 25 E HIGH ST, MT STERLING, KY, 40353, with a listed phone of (859) 498-6204. NPI 1366676603 was issued on 05/13/2009. 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 1,402 prescription claims written by this provider, covering 562 Medicare beneficiaries and totaling roughly $5K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 34.3%. 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.

Dentist is a high-volume specialty nationwide, with 93,789 enrolled providers across 56 states and an average of 87 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

25 E HIGH ST
MT STERLING, KY 40353

Provider Details

NPI 1366676603
Specialty Dentist
Credentials D.M.D
Gender Male
NPI Issued 05/13/2009

Hospital and facility affiliations

Facilities where WILLIAM SEXTON, D.M.D 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.

ORAL SURGERY AND IMPLANT ASSOCIATES
WINCHESTER, KY

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 WILLIAM SEXTON, D.M.D. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

Straumann USA LLC

Most common payment type

Gift

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.

Brand vs generic prescribing mix · Generic-heavy

WILLIAM SEXTON, D.M.D — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 1,402 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.

1,402
Total Claims
$5K
Total Drug Cost
562
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,402
Total Day Supply
7,173
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$6
Generic Drug Cost
$5K
Opioid Claims
481 (34.3% rate)
Antibiotic Claims
434

Patient Demographics

Average Patient Age
65.9 years
Avg HCC Risk Score
1.29
Gender Split
56% female / 44% male
Age Distribution
<65: 196, 65-74: 235, 75-84: 107, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What WILLIAM SEXTON, D.M.D 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
Amoxicillin
337
Ibuprofen
303
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
248
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
151
Alprazolam
113
Oxycodone Hcl
79
Clindamycin Hcl
66
Chlorhexidine Gluconate
26
Cephalexin
23
Ibu
Ibuprofen
14

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

Dentist Overview

How WILLIAM SEXTON, D.M.D fits within the Dentist landscape nationally.

93,789
Dentist Providers in US
56
States with Dentist
87
Avg Claims per Provider

WILLIAM SEXTON, D.M.D's 1,402 claims are above the specialty average of 87.

Nearby Dentist Providers in Kentucky

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

Compare Dentist nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM SEXTON, D.M.D's specialty?
WILLIAM SEXTON, D.M.D specializes in Dentist and practices in MT STERLING, Kentucky. Credentials: D.M.D.
How much does WILLIAM SEXTON, D.M.D prescribe under Medicare Part D?
In 2023, WILLIAM SEXTON, D.M.D wrote 1,402 Medicare Part D claims totaling $5K in drug costs for 562 beneficiaries.
Where is WILLIAM SEXTON, D.M.D located?
WILLIAM SEXTON, D.M.D is located at 25 E HIGH ST, MT STERLING, KY, 40353. Phone: (859) 498-6204.
What is WILLIAM SEXTON, D.M.D's NPI number?
WILLIAM SEXTON, D.M.D's National Provider Identifier (NPI) is 1366676603, issued on 05/13/2009.
Does WILLIAM SEXTON, D.M.D prescribe more brand-name or generic drugs?
WILLIAM SEXTON, D.M.D's prescribing is 1% brand-name and 99% generic drugs by claim count, with $6 in brand drug costs.
Does WILLIAM SEXTON, D.M.D prescribe opioids?
Yes, WILLIAM SEXTON, D.M.D had 481 opioid claims in 2023 with an opioid prescribing rate of 34.3%.
How many Dentist providers are there in the US?
There are 93,789 Dentist providers across 56 states in the US. The average Dentist provider writes 87 Medicare Part D claims per year.
What drugs does WILLIAM SEXTON, D.M.D prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM SEXTON, D.M.D's most frequently prescribed drugs include Amoxicillin, Ibuprofen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM SEXTON, D.M.D accept Medicare?
WILLIAM SEXTON, D.M.D appears in CMS Medicare data with 1,402 Part D claims and 562 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM SEXTON, D.M.D's credentials?
WILLIAM SEXTON, D.M.D's NPI is 1366676603 with credentials D.M.D. 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