WILLIAM J HENRY MD
NPI 1316021827
Otolaryngology in Philadelphia, PA

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
3998 RED LION RD, SUITE 204, PHILADELPHIA, PA 19114(215) 612-5390(215) 612-5658 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William J Henry Md NPPES

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

WILLIAM J HENRY MD (NPI 1316021827) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD033208E) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Packer Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1983).

NPPES Registry Identity

NPI1316021827
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameWILLIAM J HENRYCredential: MD
Location Address3998 RED LION RD, SUITE 204Philadelphia, PA 19114-1445
Mailing AddressPo Box 8500-6335Philadelphia, PA 19178-6335 · (215) 612-5390 · Fax (215) 612-5658
Fax(215) 612-5658
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1983
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 1, 2013
NPI 1316021827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in PA · MD033208E
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3998 RED LION RD, Philadelphia, PA 19114

Other Identifiers 8

Other30124827PA · Keystone First
Medicaid0011874410005PA
Medicare PIN192740Q0SPA
OtherHE 192740PA · Blue Shield
Medicare UPINE61957
Other0091405000PA · Keystone Ibc
Other7508097PA · Aetna Hmo
Other4131823PA · Aetna Ppo

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

William J Henry Md 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 ID1850293069
PECOS Enrollment IDI20110526000647
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 2

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 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.
38 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

Radiology (Vascular & Interventional Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Obstetrics & Gynecology
3998 RED LION RD, SUITE 106
PHILADELPHIA, PA 19114
Nurse Anesthetist, Certified Registered
3998 RED LION RD
PHILADELPHIA, PA 19114
Radiology (Diagnostic Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Emergency Medicine
3998 RED LION RD
PHILADELPHIA, PA 19114
Registered Nurse (Emergency)
3998 RED LION RD, EMERGENCY ROOM
PHILADELPHIA, PA 19114
Surgery
3998 RED LION RD, SUITE 301
PHILADELPHIA, PA 19114
General Acute Care Hospital
3998 RED LION RD
PHILADELPHIA, PA 19114

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 William Henry's NPI number?

The NPI number for William Henry is 1316021827. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is William Henry located?

William Henry practices at 3998 Red Lion Rd Suite 204, Philadelphia, PA 19114. The listed phone number is (215) 612-5390.

What is William Henry's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is William Henry enrolled in Medicare?

Yes. William 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 William Henry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list William 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 William Henry affiliated with any hospitals?

According to CMS data, William Henry is affiliated with Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for William Henry was last updated on July 1, 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.