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DAVID HENRY
NPI 1003215047
Physician Assistant in Cicero, IN

Active since August 15, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1160 S PERU ST, CICERO, IN 46034(317) 984-9311(317) 984-9302 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Sep 24, 2020, Jun 16, 2018 and 2 more (5 updates tracked since 2016).

About David Henry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID HENRY (NPI 1003215047) is an individual physician assistant in Cicero, Indiana, licensed in Indiana (10001704A) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003215047
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID HENRY
Location Address1160 S PERU STCicero, IN 46034-9601
Mailing AddressPo Box 843022Kansas City, MO 64184-3022 · (317) 770-6900 · Fax (317) 770-6911
Phone(317) 984-9311
Fax(317) 984-9302
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 15, 2014
Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1003215047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10001704A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1160 S PERU ST, Cicero, IN 46034
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Other Identifiers 1

Medicaid241888770IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

David Henry 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.

PECOS PAC ID7618196353
PECOS Enrollment IDI20140911002077
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
195 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services77 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
93 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Indiana University Health Tipton Hospital Inc

Critical Access Hospitals · Tipton, IN
OwnershipVoluntary non-profit - Other
CMS Certification Number151311
Location1000 S Main StTipton, IN 46072 · Tipton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims44 services$5.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$65.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS LAUREN CHRISTINE TANDARICH PA-C
Physician Assistant
1160 S PERU ST
CICERO, IN 46034
Hamilton County (317) 984-9311
DR. JEREMY G FISK MD
Family Medicine
1160 S PERU ST
CICERO, IN 46034
Hamilton County (317) 984-9311
MEGAN JANE EATON DO
Family Medicine
1160 S PERU ST
CICERO, IN 46034
Hamilton County (317) 984-9311

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 David Henry's NPI number?

The NPI number for David Henry is 1003215047. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is David Henry located?

David Henry practices at 1160 S Peru St, Cicero, IN 46034. The listed phone number is (317) 984-9311.

What is David Henry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Henry enrolled in Medicare?

Yes. David Henry 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 David Henry accept?

Health plans from CareSource and UnitedHealthcare list David Henry 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.

Is David Henry affiliated with any hospitals?

According to CMS data, David Henry is affiliated with Riverview Health and Indiana University Health Tipton Hospital Inc.

When was this NPI record last updated?

The NPPES record for David Henry was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.