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

Q: 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.

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

Phone(512) 579-4000

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Richard Hensley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathology Associates Of San Antonio, L.L.P.

7.8 mi

Anatomic Pathology & Clinical Pathology

9720 DATAPOINT DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
28 clinicians in this Medicare group

NPI 1407844848 (210) 892-3700

Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang

78 mi

Anatomic Pathology & Clinical Pathology

3445 EXECUTIVE CENTER DR, STE 250
Austin, TX 78731

Reassigned Medicare billing, Texas enrollment
73 clinicians in this Medicare group

NPI 1255395810 (512) 579-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHRISTIAN JOSEPH REITANO M.D.

Radiology (Diagnostic Radiology)