MS. SUSAN ELAINE HENLEY MD
NPI 1083683049
Internal Medicine - Endocrinology, Diabetes & Metabolism in Colorado Springs, CO

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
21.34/100
CMS Quality Rating
325 E FONTANERO ST, COLORADO SPRINGS, CO 80907(719) 636-3829(719) 636-1387 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Susan Elaine Henley Md NPPES

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

MS. SUSAN ELAINE HENLEY MD (NPI 1083683049) is an individual endocrinology, diabetes & metabolism provider in Colorado Springs, Colorado, licensed in Colorado (37503) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1990).

NPPES Registry Identity

NPI1083683049
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMS. SUSAN ELAINE HENLEYCredential: MD
Location Address325 E FONTANERO STColorado Springs, CO 80907
Mailing Address325 E Fontanero StColorado Springs, CO 80907 · (719) 636-3829 · Fax (719) 636-1387
Fax(719) 636-1387
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1990
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083683049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CO · 37503
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

325 E FONTANERO ST, Colorado Springs, CO 80907

Other Identifiers 3

Medicare UPING03693
Medicare ID-Type UnspecifiedF7448CO
Medicaid55200869CO

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

Ms. Susan Elaine Henley Md 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 ID5294908786
PECOS Enrollment IDI20111027000945
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 6

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 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.
403 services221 patients
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.
313 services133 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
201 services81 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
187 services69 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
17 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

21.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost71.13

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
9 suppliers90 claims1,118 services$17.98 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
9 suppliers93 claims2,865 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
5 suppliers115 claims115 services$173.24 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
39 suppliers105 claims657 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers23 claims42 services$1.00 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
6 suppliers64 claims64 services$302.05 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 4

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Family)
325 E FONTANERO ST
COLORADO SPRINGS, CO 80907
Internal Medicine (Endocrinology, Diabetes & Metabolism)
325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Adult Health)
325 E FONTANERO ST
COLORADO SPRINGS, CO 80907

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 Susan Henley's NPI number?

The NPI number for Susan Henley is 1083683049. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Susan Henley located?

Susan Henley practices at 325 E Fontanero St, Colorado Springs, CO 80907. The listed phone number is (719) 636-3829.

What is Susan Henley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Susan Henley enrolled in Medicare?

Yes. Susan Henley 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.

When was this NPI record last updated?

The NPPES record for Susan Henley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.