JAMES HENDERSON M.D.
NPI 1093160111
Family Medicine in Durham, NC

Q: What is James Henderson's NPI number?

The NPI number for James Henderson is 1093160111. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Q: What is James Henderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Henderson was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 26, 2016PECOS EnrolledAccepts Medicare Assignment

3916 BEN FRANKLIN BLVD, DURHAM, NC 27704(919) 418-9086 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Jan 23, 2019 (2 updates tracked since 2019).

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About James Henderson M.d. NPPES

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

JAMES HENDERSON M.D. (NPI 1093160111) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (2022-02391) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with North Carolina Specialty Hospital, and maintains a secondary practice location in Lakewood.

NPPES Registry Identity

NPI1093160111

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES HENDERSONCredential: M.D.

Location Address3916 BEN FRANKLIN BLVDDurham, NC 27704-2383

Mailing Address1010 Mills StRaleigh, NC 27608-1834 · (919) 418-9086

Phone(919) 418-9086

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 26, 2016

Last NPPES UpdateMay 8, 20232 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1093160111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2022-02391

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3916 BEN FRANKLIN BLVD, Durham, NC 27704

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Secondary Practice Location 1

Location 114601 Detroit AveLakewood, OH 44107-4205 · Phone (216) 476-7088

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

James 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 ID7214229632

PECOS Enrollment IDI20230518002500

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 4

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 straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

117 services115 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

66 services49 patients

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.

14 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Specialty Hospital

Acute Care Hospitals · Durham, NC

OwnershipProprietary

CMS Certification Number340049

Location3916 Ben Franklin BoulevardDurham, NC 27704 · Durham County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 11

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

MRS. LINDA WOOD MEDLIN CRNA

Nurse Anesthetist, Certified Registered