RICHARD G HENSLEY M.D.
NPI 1104817022
Pathology - Anatomic Pathology & Clinical Pathology in San Antonio, TX

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
111 DALLAS ST, SAN ANTONIO, TX 78205(512) 579-4000(512) 439-2814 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2024, Mar 31, 2017 (2 updates tracked since 2017).

About Richard G Hensley M.d. NPPES

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

RICHARD G HENSLEY M.D. (NPI 1104817022) is an individual anatomic pathology & clinical pathology provider in San Antonio, Texas, licensed in Texas (J4201) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1104817022
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRICHARD G HENSLEYCredential: M.D.
Location Address111 DALLAS STSan Antonio, TX 78205-1201
Mailing Address3445 Executive Center Dr Ste 250Austin, TX 78731-1678 · (512) 579-4000 · Fax (512) 439-2814
Fax(512) 439-2814
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 31, 2005
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPI 1104817022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in TX · J4201
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedSpecialistTaxonomy 174400000X
111 DALLAS ST, San Antonio, TX 78205

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

Richard G Hensley 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 ID7315178258
PECOS Enrollment IDI20140318001545
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 11

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
190 services147 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
137 services23 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
77 services70 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
70 services61 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
36 services32 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
35 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Radiology (Diagnostic Radiology)
111 DALLAS ST
SAN ANTONIO, TX 78205
Psychiatry & Neurology (Psychiatry)
111 DALLAS ST
SAN ANTONIO, TX 78205
Internal Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Physical Medicine & Rehabilitation
111 DALLAS ST
SAN ANTONIO, TX 78205
Occupational Therapist
111 DALLAS ST
SAN ANTONIO, TX 78205
Nurse Practitioner (Family)
111 DALLAS ST
SAN ANTONIO, TX 78205
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Long Term Care Hospital
111 DALLAS ST, 4TH FL
SAN ANTONIO, TX 78205

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 Richard Hensley's NPI number?

The NPI number for Richard Hensley is 1104817022. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Richard Hensley located?

Richard Hensley practices at 111 Dallas St, San Antonio, TX 78205. The listed phone number is (512) 579-4000.

What is Richard Hensley's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Richard Hensley enrolled in Medicare?

Yes. Richard Hensley 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 Richard Hensley accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Richard Hensley 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 Richard Hensley affiliated with any hospitals?

According to CMS data, Richard Hensley is affiliated with Baptist Medical Center, Guadalupe Regional Medical Center and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Richard Hensley was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.