SAMUEL HENDERSON M.D.
NPI 1043745508
Family Medicine in Columbia, SC

Active since April 21, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203(803) 434-6771(803) 434-3955 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Sep 19, 2024, Jun 12, 2020 and 1 more (4 updates tracked since 2017).

About Samuel Henderson M.d. NPPES

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

SAMUEL HENDERSON M.D. (NPI 1043745508) is an individual family medicine provider in Columbia, South Carolina, licensed in New Mexico (MD2020-0367) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Pine Bluff.

NPPES Registry Identity

NPI1043745508
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL HENDERSONCredential: M.D.
Location Address14 RICHLAND MEDICAL PARK DR STE 320Columbia, SC 29203-6896
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Fax(803) 434-3955
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2016
Enumeration DateApril 21, 2017
Last NPPES UpdateApril 3, 20264 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1043745508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · MD2020-0367
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 93050 (SC)
14 RICHLAND MEDICAL PARK DR STE 320, Columbia, SC 29203

Secondary Practice Location 1

Location 14010 S Mulberry StPine Bluff, AR 71603-7000 · Phone (870) 541-6000

Accepted 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

Samuel Henderson 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.

PECOS PAC ID9133541386
PECOS Enrollment IDI20241029001019
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
106 services105 patients

Hospital Affiliations CMS Care Compare 4

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers81 claims81 services$15.49 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
5 suppliers81 claims81 services$74.44 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 20

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

Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Nurse Practitioner
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Hospitalist
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Pediatrics
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Nurse Practitioner (Acute Care)
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Emergency Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Hospitalist
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203

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 Samuel Henderson's NPI number?

The NPI number for Samuel Henderson is 1043745508. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Samuel Henderson located?

Samuel Henderson practices at 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203. The listed phone number is (803) 434-6771.

What is Samuel Henderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Henderson enrolled in Medicare?

Yes. Samuel Henderson 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 Samuel Henderson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Samuel Henderson 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 Samuel Henderson affiliated with any hospitals?

According to CMS data, Samuel Henderson is affiliated with Prisma Health Richland Hospital, Prisma Health Tuomey Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Samuel Henderson was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.