MARY ELIZABETH SEXTON M.D.
NPI 1003108606
Internal Medicine - Infectious Disease in Towson, MD

Active since May 15, 2011PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
7601 OSLER DR, TOWSON, MD 21204(410) 337-1207 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2025, Jun 13, 2017 (2 updates tracked since 2017).

About Mary Elizabeth Sexton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH SEXTON M.D. (NPI 1003108606) is an individual infectious disease provider in Towson, Maryland, licensed in Maryland (D0103251) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Md St Joseph Medical Center, and is a graduate of Emory University School Of Medicine (2011).

NPPES Registry Identity

NPI1003108606
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMARY ELIZABETH SEXTONCredential: M.D.
Location Address7601 OSLER DRTowson, MD 21204-7700
Mailing Address5 Aliceview CtLutherville Timonium, MD 21093-3370
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2011
Enumeration DateMay 15, 2011
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1003108606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in MD · D0103251 Licensed in GA · 78135
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

7601 OSLER DR, Towson, MD 21204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Elizabeth Sexton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264702034
PECOS Enrollment IDI20250528000707
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
7601 OSLER DR
TOWSON, MD 21204
General Practice
7601 OSLER DR
TOWSON, MD 21204
Nurse Practitioner (Gerontology)
7601 OSLER DR
TOWSON, MD 21204
Pediatrics
7601 OSLER DR
TOWSON, MD 21204
Physician Assistant
7601 OSLER DR
TOWSON, MD 21204
Nurse Practitioner (Family)
7601 OSLER DR
TOWSON, MD 21204
Nurse Anesthetist, Certified Registered
7601 OSLER DR
TOWSON, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
7601 OSLER DR
TOWSON, MD 21204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Elizabeth Sexton's NPI number?

The NPI number for Mary Elizabeth Sexton is 1003108606. It was assigned to this individual provider in the NPPES registry on May 15, 2011.

Where is Mary Elizabeth Sexton located?

Mary Elizabeth Sexton practices at 7601 Osler Dr, Towson, MD 21204. The listed phone number is (410) 337-1207.

What is Mary Elizabeth Sexton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Mary Elizabeth Sexton enrolled in Medicare?

Yes. Mary Elizabeth Sexton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Elizabeth Sexton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mary Elizabeth Sexton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Elizabeth Sexton affiliated with any hospitals?

According to CMS data, Mary Elizabeth Sexton is affiliated with University Of MD St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Elizabeth Sexton was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.