2026 NPPES data Internal Medicine Physician NPI 1053645812 M.D.
Verify on CMS →

ROCHELLE SEXTON, M.D.

Internal Medicine Physician in GRANBURY, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
237
Medicare Part D claims · 46 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
91.9639/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

ROCHELLE SEXTON, M.D. reported a CMS MIPS final score of 91.9639/100 — above the 83.1 national average — and filed 237 Medicare Part D claims in 2023.

91.9639/100
MIPS score · +9 vs avg
237
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ROCHELLE SEXTON, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

92 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ROCHELLE SEXTON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ROCHELLE SEXTON, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/28/2009

NPI 1053645812

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

237 91% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

91.9639/100 8.863900000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Internal Medicine Physician compares to other specialties among Texas providers

Texas providers

Internal Medicine Physician share within Texas

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Texas

Medicare quality performance — MIPS

ROCHELLE SEXTON, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
91.9639/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 91.9639/100 vs national avg 83.1

0%100%National avg83%92%
MIPS final score (Internal Medicine Physician) — 91.9639/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ROCHELLE SEXTON, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 1321 WATERS EDGE DR, GRANBURY, TX, 76048, with a listed phone of (817) 408-3600. NPI 1053645812 was issued on 09/28/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEXTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 237 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $26K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.9639/100 for the 2023 performance year (Quality 89.7864, Cost 56.8144), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1321 WATERS EDGE DR
GRANBURY, TX 76048

Provider Details

NPI 1053645812
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 09/28/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.9639
Final Score
Avg: 83.1
89.7864
Quality
56.8144
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to ROCHELLE SEXTON, M.D.. To verify ROCHELLE SEXTON, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

237
Total Claims
$26K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
556
Total Day Supply
16,261
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
64.5 years
Avg HCC Risk Score
1.27
Gender Split
72% female / 28% male
Age Distribution
<65: 13, 65-74: 27, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
21
Amlodipine Besylate
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How ROCHELLE SEXTON, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

ROCHELLE SEXTON, M.D.'s 237 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as SEXTON.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROCHELLE SEXTON, M.D.'s specialty?
ROCHELLE SEXTON, M.D. specializes in Internal Medicine Physician and practices in GRANBURY, Texas. Credentials: M.D..
How much does ROCHELLE SEXTON, M.D. prescribe under Medicare Part D?
In 2023, ROCHELLE SEXTON, M.D. wrote 237 Medicare Part D claims totaling $26K in drug costs for 46 beneficiaries.
What is ROCHELLE SEXTON, M.D.'s Medicare quality score?
ROCHELLE SEXTON, M.D. has a CMS MIPS Final Score of 91.9639/100 (Quality: 89.7864, Cost: 56.8144). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROCHELLE SEXTON, M.D. located?
ROCHELLE SEXTON, M.D. is located at 1321 WATERS EDGE DR, GRANBURY, TX, 76048. Phone: (817) 408-3600.
What is ROCHELLE SEXTON, M.D.'s NPI number?
ROCHELLE SEXTON, M.D.'s National Provider Identifier (NPI) is 1053645812, issued on 09/28/2009.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does ROCHELLE SEXTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROCHELLE SEXTON, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROCHELLE SEXTON, M.D. accept Medicare?
ROCHELLE SEXTON, M.D. appears in CMS Medicare data with 237 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROCHELLE SEXTON, M.D.'s credentials?
ROCHELLE SEXTON, M.D.'s NPI is 1053645812 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology