Roy Sexton, M.D.
NPI 1548368129 · Internal Medicine Physician · Longmont, CO
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roy Sexton, M.D. is a Internal Medicine Physician provider in Longmont, CO (NPI 1548368129).
Provider details
- NPI number
- 1548368129
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- C52418 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
543 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 240 | $77 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 160 | $115 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 96 | $113 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 33 | $167 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $129 |
Typical Medicare-allowed amounts for these services range $77–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 40 | 19 |
| Metoprolol Tartrate | 33 | 18 |
| Cefdinir | 21 | 21 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 20 | 11 |
| Amlodipine Besylate | 18 | 12 |
| Pantoprazole Sodium | 16 | 12 |
| Furosemide | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$29 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1600 Medical PkwyCarson City, NV 89703-4625Phone: (775) 445-8795Fax: (775) 445-5175
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2021-12-02
- Certified
- 2021-12-02
Frequently asked questions
- What is Roy Sexton's NPI number?
- Roy Sexton's National Provider Identifier (NPI) is 1548368129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roy Sexton's specialty?
- Roy Sexton is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Roy Sexton located?
- Roy Sexton's practice location on file with NPPES is 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311.
- What is Roy Sexton's phone number?
- The practice phone number listed in the NPPES registry for Roy Sexton is (720) 718-7000.
- Does Roy Sexton accept Medicare?
- Roy Sexton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roy Sexton's NPI active?
- Yes — Roy Sexton's NPI (1548368129) is active in the NPPES registry as of the last update on 2021-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.