NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1992728869 M.D.
Verify on CMS → William Sexauer, M.D.
Pulmonary Disease Physician in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
190
Medicare Part D claims · 38 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
31%
generic claims · 69% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$31.55
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
William Sexauer, M.D. filed 190 Medicare Part D claims in 2024 as a Pulmonary Disease Physician in Philadelphia, Pennsylvania, prescribing 31% generic.
- 190
- Part D claims, 2024
- 31%
- generic prescribing
- $31.55
- industry payments (Sunshine Act)
- ≥34th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about William Sexauer, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1992728869), first enumerated 07/25/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 190 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Reported
Industry payment transparency
$31.55 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not William Sexauer, M.D.'s individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1992728869 · Pulmonary Disease Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1992728869
- ENUM-LEGACY 2006
- TAX-MID 10K Pulmonary Disease
- RX-LIGHT 190
- BOOK-LIGHT 527 in Pennsylvania
- PHOTO-ENUM David Main, MD · 2006
William Sexauer, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
190 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
William Sexauer, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about William Sexauer, M.D.?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
190 87% vs specialty avg
Specialty distribution in Pennsylvania
How Pulmonary Disease Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pulmonary Disease Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1992728869 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/25/2006 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for William Sexauer, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$32
Largest payer
Amgen Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to William Sexauer, M.D.. To verify William Sexauer, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
William Sexauer, M.D. - brand share 69.0%
Pulmonary Disease Physician average
69% brand-name claims vs 31% generic, on 190 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
190
Total Claims
$58K
Total Drug Cost
38
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 243.067
- Total Day Supply
- 6,911
- Brand vs Generic
- 69% brand / 31% generic
- Brand Drug Cost
- $54K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 2.01
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What William Sexauer, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Albuterol Sulfate …
Albuterol Sulfate Hfa
32 claims
- Anoro Ellipta
Anoro Ellipta
29 claims
- Trelegy Ellipta
Trelegy Ellipta
18 claims
- Fluticasone-Salmet…
Fluticasone-Salmeterol
14 claims
- Spiriva Handihaler
Spiriva Handihaler
13 claims
- Montelukast Sodium 12
Montelukast Sodium
12 claims
- Stiolto Respimat 11
Stiolto Respimat
11 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 32 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 29 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 18 |
| Fluticasone-Salmeterol Fluticasone Propion/Salmeterol | 14 |
| Spiriva Handihaler Tiotropium Bromide | 13 |
| Montelukast Sodium | 12 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How William Sexauer, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider
William Sexauer, M.D.'s 190 claims are below the specialty average of 1,498.
Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sexauer, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pulmonary Disease Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Sexauer.
One of 527 Pulmonary Disease Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Gary Aaronson
DO
Philadelphia, PA
Dr. Joseph Abboud
M.D.
Bryn Mawr, PA
Amgad Abdu
Franklin, PA
Dr. Jason Ackrivo
MD
Philadelphia, PA
Dr. Michael Ader
M.D.
Hanover, PA
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is William Sexauer, M.D.'s specialty? ▼
William Sexauer, M.D. specializes in Pulmonary Disease Physician and practices in Philadelphia, Pennsylvania. Credentials: M.D..
How much does William Sexauer, M.D. prescribe under Medicare Part D? ▼
In 2024, William Sexauer, M.D. wrote 190 Medicare Part D claims totaling $58K in drug costs for 38 beneficiaries.
Where is William Sexauer, M.D. located? ▼
William Sexauer, M.D. is located at 834 WALNUT ST, Philadelphia, PA, 19107. Phone: (215) 955-5161.
What is William Sexauer, M.D.'s NPI number? ▼
William Sexauer, M.D.'s National Provider Identifier (NPI) is 1992728869, issued on 07/25/2006.
Does William Sexauer, M.D. prescribe more brand-name or generic drugs? ▼
William Sexauer, M.D.'s prescribing is 69% brand-name and 31% generic drugs by claim count, with $54K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does William Sexauer, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, William Sexauer, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Anoro Ellipta, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does William Sexauer, M.D. accept Medicare? ▼
William Sexauer, M.D. appears in CMS Medicare data with 190 Part D claims and 38 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify William Sexauer, M.D.'s credentials? ▼
William Sexauer, M.D.'s NPI is 1992728869 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.