DR. ROY HOWARD SEXTON III M.D.
NPI 1548368129
Internal Medicine in Longmont, CO
About Dr. Roy Howard Sexton Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROY HOWARD SEXTON III M.D. (NPI 1548368129) is an individual internal medicine provider in Longmont, Colorado, licensed in Colorado (DR.0066538) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Carson City, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
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.
Secondary Practice Location 1
Other Identifiers 2
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
Dr. Roy Howard Sexton Iii 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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.
LONGMONT, CO 80504
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 Roy Sexton's NPI number?
The NPI number for Roy Sexton is 1548368129. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Roy Sexton located?
Roy Sexton practices at 1750 E Ken Pratt Blvd, Longmont, CO 80504. The listed phone number is (720) 718-7000.
What is Roy Sexton's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Roy Sexton enrolled in Medicare?
Yes. Roy 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 Roy Sexton accept?
Health plans from Medica and UnitedHealthcare list Roy 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 Roy Sexton was last updated on December 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
