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ROCHELLE MARIE SEXTON I M.D.
NPI 1053645812
Internal Medicine in Granbury, TX

Active since September 28, 2009PECOS Enrolled
91.96/100
CMS Quality Rating
1321 WATERS EDGE DR, SUITE 101, GRANBURY, TX 76048(817) 408-3600 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rochelle Marie Sexton I M.d. NPPES

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

ROCHELLE MARIE SEXTON I M.D. (NPI 1053645812) is an individual internal medicine provider in Granbury, Texas, licensed in Texas (P6913) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053645812
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameROCHELLE MARIE SEXTON ICredential: M.D.
Location Address1321 WATERS EDGE DR, SUITE 101Granbury, TX 76048-1232
Mailing Address1202 Delmarva CtGranbury, TX 76048-4372
Phone(817) 408-3600
Sole ProprietorNo
Enumeration DateSeptember 28, 2009
Last NPPES UpdateAugust 27, 2014
✔ NPI 1053645812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · P6913
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License P6913 (TX)
1321 WATERS EDGE DR, Granbury, TX 76048
Open in Google Maps ↗

Other Identifiers 1

OtherP6913Texas Medical License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rochelle Marie Sexton I M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Rochelle Sexton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Acclaim Physician Group, Inc
33 mi
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
NPI 1780076562 (817) 702-6770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76048 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$66.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Rochelle Sexton's NPI number?

The NPI number for Rochelle Sexton is 1053645812. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Where is Rochelle Sexton located?

Rochelle Sexton practices at 1321 Waters Edge Dr Suite 101, Granbury, TX 76048. The listed phone number is (817) 408-3600.

What is Rochelle Sexton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rochelle Sexton enrolled in Medicare?

Yes. Rochelle Sexton is registered in the Medicare PECOS enrollment system.

What insurance does Rochelle Sexton accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Rochelle 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.

When was this NPI record last updated?

The NPPES record for Rochelle Sexton was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.