DR. TIFFANY SEXTON M.D.
NPI 1568859197
Internal Medicine in Dothan, AL
About Dr. Tiffany Sexton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIFFANY SEXTON M.D. (NPI 1568859197) is an individual internal medicine provider in Dothan, Alabama, licensed in Alabama (MD.36954) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tiffany 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.
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Sexton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dothan, AL 36301
- Reassigned Medicare billing, Alabama enrollment
- 514 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 36301 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.
Referred Medical Equipment & Supplies CMS DME claims 4
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.
DOTHAN, AL 36301
DOTHAN, AL 36301
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 Tiffany Sexton's NPI number?
The NPI number for Tiffany Sexton is 1568859197. It was assigned to this individual provider in the NPPES registry on April 21, 2015.
Where is Tiffany Sexton located?
Tiffany Sexton practices at 1108 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 793-8111.
What is Tiffany Sexton's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tiffany Sexton enrolled in Medicare?
Yes. Tiffany 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.
Which organization bills Medicare for Tiffany Sexton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Sexton reassigns Medicare benefits to Houston County Healthcare Authority (Dothan, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Sexton accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Tiffany 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 Tiffany Sexton was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Tiffany Sexton, M.D. · NPI 1568859197
Internal Medicine physician in Dothan, Alabama. Individual provider, active in the CMS NPPES registry since April 21, 2015.
## Identity
- **NPI:** 1568859197 (Entity type: Individual)
- **Enumerated:** April 21, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD.36954 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1108 ROSS CLARK CIR, Dothan, AL 36301
- **Phone:** (334) 793-8111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Houston County Healthcare Authority (NPI 1538597349, Dothan, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** September 18, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1568859197) · Data from the CMS NPPES public registry.