DR. JEFFERSON L HENDRICKSON M.D.
NPI 1164781811
Internal Medicine in Odenton, MD

Q: What is Jefferson Hendrickson's NPI number?

The NPI number for Jefferson Hendrickson is 1164781811. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Jefferson Hendrickson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

1106 ANNAPOLIS RD, ODENTON, MD 21113(410) 874-1400 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Jefferson L Hendrickson M.d. NPPES

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

DR. JEFFERSON L HENDRICKSON M.D. (NPI 1164781811) is an individual internal medicine provider in Odenton, Maryland, licensed in Maryland (D0080819) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Roy Lester Schneider Hospital,the, and is a graduate of Meharry Medical College School Of Medicine (2012).

NPPES Registry Identity

NPI1164781811

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JEFFERSON L HENDRICKSONCredential: M.D.

Location Address1106 ANNAPOLIS RDOdenton, MD 21113-1637

Mailing Address14964 Belle Ami DrLaurel, MD 20707-3600 · (301) 498-8455

Phone(410) 874-1400

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 2012

Enumeration DateMay 15, 2012

Last NPPES UpdateSeptember 9, 2016

✔ NPI 1164781811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D0080819

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1106 ANNAPOLIS RD, Odenton, MD 21113

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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

Dr. Jefferson L Hendrickson 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 ID8426346552

PECOS Enrollment IDI20240913000020

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 Jefferson Hendrickson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC

20 mi

General Practice

5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239

Reassigned Medicare billing, District of Columbia and Maryland enrollments
3,530 clinicians in this Medicare group

NPI 1184046187 (443) 444-5606

The St Thomas East End Medical Center Corporation

Public Health, Federal

4605 TUTU PARK MALL, SUITE 207
St Thomas, VI 00802

Reassigned Medicare billing, U.S. Virgin Islands enrollment
23 clinicians in this Medicare group

NPI 1891799763 (340) 775-3700

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 12

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 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 services270 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

128 services128 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

83 services82 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.

83 services78 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

26 services26 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.

22 services22 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

20 services20 patients

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.

19 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

15 services15 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

12 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Roy Lester Schneider Hospital,the

Acute Care Hospitals · St Thomas, VI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number480001

Location9048 Sugar EstateSt Thomas, VI 00801 · Saint Thomas Island County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21113 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

80.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.69

Promoting Interoperability

100

Improvement Activities

Cost

53.49

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers35 claims99 services$5.63 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers13 claims21 services$0.98 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers20 claims20 services$187.59 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 15

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

SHELIA CRAIG WHITEMAN PT,DPT

Physical Therapist

1106 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (301) 249-7437

DR. BARRY I BERCOVITZ MD

Internal Medicine

1106 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 874-1400

SHANNON P ROBINSON DPT

Physical Therapist

1106 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 268-8862

JOHNS HOPKINS UNIVERSITY

Optometrist

1106 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 955-5080

PATRICIA GILLEN

Family Medicine

1106 ANNAPOLIS RD, SUITE 310
ODENTON, MD 21113

Anne Arundel County (410) 874-1400

KATRINA CORK

Pediatrics

1106 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 874-1400

MS. JUDITH M MELCHIORRE PAC

Physician Assistant

1106 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 874-1400

MORGAN HECKERT DPT

Physical Therapist

1106 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 674-1650

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 Jefferson Hendrickson's NPI number?

The NPI number for Jefferson Hendrickson is 1164781811. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Jefferson Hendrickson located?

Jefferson Hendrickson practices at 1106 Annapolis Rd, Odenton, MD 21113. The listed phone number is (410) 874-1400.

What is Jefferson Hendrickson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jefferson Hendrickson enrolled in Medicare?

Yes. Jefferson Hendrickson 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.

Which organizations bill Medicare for Jefferson Hendrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jefferson Hendrickson reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and The St Thomas East End Medical Center Corporation (St Thomas, VI). Each 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 Jefferson Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jefferson Hendrickson affiliated with any hospitals?

According to CMS data, Jefferson Hendrickson is affiliated with Roy Lester Schneider Hospital,the.

When was this NPI record last updated?

The NPPES record for Jefferson Hendrickson was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.