Tonya Sexton-Anderson, D.O.
NPI 1265538441 · Family Medicine Physician · Howell, MI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tonya Sexton-Anderson, D.O. is a Family Medicine Physician provider in Howell, MI (NPI 1265538441).
Provider details
- NPI number
- 1265538441
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 5101012802 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
785 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 286 | $81 |
| Assessment of Emotional Or Behavioral Problems96127 | 97 | $4 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 86 | $42 |
| Hemoglobin A1c Level83036 | 84 | $10 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 77 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 100 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 507 | 143 |
| Amlodipine Besylate | 384 | 113 |
| Lisinopril | 364 | 98 |
| Levothyroxine Sodium | 363 | 93 |
| Rosuvastatin Calcium | 215 | 62 |
| Losartan Potassium | 191 | 54 |
| Metoprolol Succinate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Frequently asked questions
- What is Tonya Sexton-Anderson's NPI number?
- Tonya Sexton-Anderson's National Provider Identifier (NPI) is 1265538441, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tonya Sexton-Anderson's specialty?
- Tonya Sexton-Anderson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tonya Sexton-Anderson located?
- Tonya Sexton-Anderson's practice location on file with NPPES is 202 W Highland Rd, Howell, MI 48843-1162.
- What is Tonya Sexton-Anderson's phone number?
- The practice phone number listed in the NPPES registry for Tonya Sexton-Anderson is (517) 234-6540.
- Does Tonya Sexton-Anderson accept Medicare?
- Tonya Sexton-Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tonya Sexton-Anderson's NPI active?
- Yes — Tonya Sexton-Anderson's NPI (1265538441) is active in the NPPES registry as of the last update on 2024-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.