KEVIN MICHAEL HENRY M.D.
NPI 1205032687
Family Medicine in Santa Maria, CA

Active since June 22, 2007PECOS EnrolledAccepts Medicare Assignment
235 S PALISADE DR, SANTA MARIA, CA 93454(805) 739-3561(805) 739-3560 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Michael Henry M.d. NPPES

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

KEVIN MICHAEL HENRY M.D. (NPI 1205032687) is an individual family medicine provider in Santa Maria, California, licensed in California (C175784) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (2007).

NPPES Registry Identity

NPI1205032687
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN MICHAEL HENRYCredential: M.D.
Location Address235 S PALISADE DRSanta Maria, CA 93454-5948
Mailing Address235 S Palisade DrSanta Maria, CA 93454-5948 · (805) 739-3561 · Fax (805) 739-3560
Fax(805) 739-3560
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2007
Enumeration DateJune 22, 2007
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1205032687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · C175784 Licensed in NM · MD2010-0591
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.
235 S PALISADE DR, Santa Maria, CA 93454

Other Identifiers 1

OtherRS 2007-0308NM · Training

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

Kevin Michael Henry 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 ID9436328028
PECOS Enrollment IDI20220330000965
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 3

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.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
117 services13 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.
81 services70 patients
Urinalysis using microscope 81015
Urinalysis with a microscope is a test that helps detect issues in your body. A small sample of your urine is examined under a microscope. This allows the detection of substances not visible to the naked eye, aiding in diagnosing various health conditions.
27 services26 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims550 services$0.11 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$28.78 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims17 services$21.18 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier12 claims12 services$827.27 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers12 claims12 services$16.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers49 claims53 services$88.14 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 20

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

Pediatrics (Neonatal-Perinatal Medicine)
235 S PALISADE DR
SANTA MARIA, CA 93454
Pediatrics (Neonatal-Perinatal Medicine)
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454
Student in an Organized Health Care Education/Training Program
235 S PALISADE DR
SANTA MARIA, CA 93454
Hospitalist
235 S PALISADE DR
SANTA MARIA, CA 93454
Student in an Organized Health Care Education/Training Program
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454

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 Kevin Henry's NPI number?

The NPI number for Kevin Henry is 1205032687. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Kevin Henry located?

Kevin Henry practices at 235 S Palisade Dr, Santa Maria, CA 93454. The listed phone number is (805) 739-3561.

What is Kevin Henry's specialty?

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

Is Kevin Henry enrolled in Medicare?

Yes. Kevin Henry 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 Kevin Henry accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Kevin Henry 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 Kevin Henry affiliated with any hospitals?

According to CMS data, Kevin Henry is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Henry was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.