DR. JERRY PAUL HENDERSON DO
NPI 1245725977
Emergency Medicine in Wyoming, MI

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
80.61/100
CMS Quality Rating
5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7604 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2021, Jun 26, 2018 (2 updates tracked since 2018).

About Dr. Jerry Paul Henderson Do NPPES

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

DR. JERRY PAUL HENDERSON DO (NPI 1245725977) is an individual emergency medicine provider in Wyoming, Michigan, licensed in Missouri (2021016736) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Otsego Memorial Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1245725977
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JERRY PAUL HENDERSONCredential: DO
Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606
Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7604
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1245725977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MO · 2021016736 Licensed in MI · 510123790
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5900 BYRON CENTER AVE SW, Wyoming, MI 49519

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

Dr. Jerry Paul Henderson Do 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 ID9638425648
PECOS Enrollment IDI20200804000296
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
420 services393 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
232 services214 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
107 services103 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
98 services98 patients

Hospital Affiliations CMS Care Compare

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

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

80.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.19
Improvement Activities40

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.

Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Emergency Medicine
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Anesthesiology
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Anesthesiology
5900 BYRON CENTER AVE SW, METRO HEALTH - HOSPITAL
WYOMING, MI 49519
Pathology (Clinical Pathology/Laboratory Medicine)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Pathology (Clinical Pathology/Laboratory Medicine)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245725977, enumerated as an "individual" on June 26, 2018.

The provider is located at 5900 BYRON CENTER AVE SW WYOMING, MI 49519 and the phone number is (616) 252-7604.

Emergency Medicine with taxonomy code 207P00000X.

Jerry Henderson is affiliated with: MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL.