GARY HENDERSON, MD PC
NPI 1083895106
Surgery in Tucson, AZ
About Gary Henderson, Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY HENDERSON, MD PC (NPI 1083895106) is a healthcare organization registered as a surgery in Tucson, Arizona and active in the NPI registry since November 2007. The organization lists Gary L Henderson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gary Henderson, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gary Henderson, MD PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gary Henderson, MD PC's NPI number?
The NPI number for Gary Henderson, MD PC is 1083895106. It was assigned to this organization in the NPPES registry on November 16, 2007.
Where is Gary Henderson, MD PC located?
Gary Henderson, MD PC is located at 1775 W Saint Marys Rd Ste 116, Tucson, AZ 85745. The listed phone number is (520) 624-2471.
What is Gary Henderson, MD PC's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Gary Henderson, MD PC enrolled in Medicare?
Yes. Gary Henderson, MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gary Henderson, MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Gary Henderson, MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gary Henderson, MD PC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Gary Henderson, Md Pc · NPI 1083895106
Surgery organization in Tucson, Arizona. Organization record, active in the CMS NPPES registry since November 16, 2007.
## Identity
- **NPI:** 1083895106 (Entity type: Organization)
- **Enumerated:** November 16, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Gary Henderson, OWNER
## Practice location
- **Address:** 1775 W SAINT MARYS RD STE 116, Tucson, AZ 85745-2662
- **Phone:** (520) 624-2471
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2007
- **Other identifiers:** Medicare UPIN D37005 (AZ); Medicare PIN Z70699 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1083895106) · Data from the CMS NPPES public registry.