Sumi Sexton, M.D.
NPI 1649227521 · Family Medicine Physician · Arlington, VA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumi Sexton, M.D. is a Family Medicine Physician provider in Arlington, VA (NPI 1649227521).
Provider details
- NPI number
- 1649227521
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- License
- 0101222193 (VA)
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
20 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
442 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 | 138 | $138 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 78 | $97 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 53 | $143 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 52 | $8 |
| Admn Sarscov2 Vacc 1 Dose90480 | 28 | $44 |
| 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'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 116 | 34 |
| Lisinopril | 47 | 14 |
| Gabapentin | 47 | — |
| Losartan Potassium | 47 | — |
| Metformin Hcl | 42 | 11 |
| Metoprolol Succinate | 37 | 12 |
| Amlodipine Besylate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Sumi Sexton's NPI number?
- Sumi Sexton's National Provider Identifier (NPI) is 1649227521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumi Sexton's specialty?
- Sumi Sexton is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sumi Sexton located?
- Sumi Sexton's practice location on file with NPPES is 200 N Glebe Rd, Arlington, VA 22203-3728.
- What is Sumi Sexton's phone number?
- The practice phone number listed in the NPPES registry for Sumi Sexton is (703) 243-1300.
- Does Sumi Sexton accept Medicare?
- Sumi Sexton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumi Sexton's NPI active?
- Yes — Sumi Sexton's NPI (1649227521) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.