RANDALL L HENDERSON D.O.
NPI 1225393275
Emergency Medicine in Mustang, OK
About Randall L Henderson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL L HENDERSON D.O. (NPI 1225393275) is an individual emergency medicine provider in Mustang, Oklahoma, licensed in Oklahoma (5228) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randall L Henderson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Randall Henderson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73102
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Emergency Physicians Of Mid-America PC
- 310 clinicians in this Medicare group
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 clinicians in this Medicare group
Norman, OK 73071
- Reassigned Medicare billing, Oklahoma enrollment
- 418 clinicians in this Medicare group
Stillwater, OK 74074
- Reassigned Medicare billing, Oklahoma enrollment
- 298 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 96 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Randall Henderson's NPI number?
The NPI number for Randall Henderson is 1225393275. It was assigned to this individual provider in the NPPES registry on July 5, 2012.
Where is Randall Henderson located?
Randall Henderson practices at 1208 W Camellia Way, Mustang, OK 73064. The listed phone number is (405) 314-5420.
What is Randall Henderson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Randall Henderson enrolled in Medicare?
Yes. Randall Henderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Randall Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Henderson reassigns Medicare benefits to 7 organizations: Emergency Physicians Of Mid-America, P.C. (Oklahoma City, OK), Mercy Clinic Oklahoma Communities (Oklahoma City, OK), Emergency Services Of Oklahoma PC (Norman, OK), South Central Emergency Services PC (Stillwater, OK), Oklahoma Emergency Services PC (Lawton, OK) and 2 more organizations, listed in the Medicare section above. 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 Randall Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Henderson accept?
Health plans from Blue Cross and Blue Shield of Texas list Randall Henderson 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.
When was this NPI record last updated?
The NPPES record for Randall Henderson was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Randall L Henderson, D.O. · NPI 1225393275
Emergency Medicine physician in Mustang, Oklahoma. Individual provider, active in the CMS NPPES registry since July 5, 2012.
## Identity
- **NPI:** 1225393275 (Entity type: Individual)
- **Enumerated:** July 5, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5228 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1208 W CAMELLIA WAY, Mustang, OK 73064-1348
- **Phone:** (405) 314-5420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Emergency Physicians Of Mid-America, P.C. (NPI 1063825297, Oklahoma City, OK); Mercy Clinic Oklahoma Communities (NPI 1386874550, Oklahoma City, OK); Emergency Services Of Oklahoma PC (NPI 1215249891, Norman, OK); South Central Emergency Services PC (NPI 1558663724, Stillwater, OK); Oklahoma Emergency Services PC (NPI 1114239795, Lawton, OK); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1225393275) · Data from the CMS NPPES public registry.