Roy Howard Sexton III, M.D.
NPI 1548368129ActiveIndividual· Internal Medicine· Longmont, CO
Internal Medicine (M.D.) with Poudre Valley Medical Group LLC, practicing in Longmont, Colorado. In 2024 Medicare paid $45,582 for 183 patients, and Part D covered 419 of their prescriptions, 89% of them generic. Celgene Corporation reported $29.08 in payments in 2024, mostly food and beverage. Lists Longs Peak Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1548368129 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Dec 2, 2021 |
| Certified by provider | Dec 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | DR.0066538 | CO |
| Internal Medicine | 207R00000X | C52418 | CA |
| Internal Medicine | 207R00000X | ME87935 | FL |
| Hospitalist | 208M00000X | 14938 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA); Practitioner - Internal Medicine (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 183 |
|---|---|
| Services billed | 573 across 13 procedure codes |
| Paid by Medicare | $45,582 |
Part D prescriptions in 2024
| Prescriptions (claims) | 419 · 674 30-day fills |
|---|---|
| Patients | 129 |
| Total drug cost | $30,519 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliations
- Longs Peak HospitalLongmont, CO
- Medical Center of the RockiesLoveland, CO
- Uchealth Broomfield HospitalBroomfield, CO
Industry payments (Open Payments)
- 2024$29.08 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Celgene Corporation | $29.08 | 1 |
What the 2024 payments were for
- Food and Beverage$29.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 51 internal medicine physicians in Longmont · All internal medicine physicians in Colorado