SHASTA ELIZABETH HENDERSON MD
NPI 1316383953
Orthopaedic Surgery - Orthopaedic Trauma in Glendale, AZ

Q: What is Shasta Henderson's NPI number?

The NPI number for Shasta Henderson is 1316383953. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Q: What is Shasta Henderson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Q: When was this NPI record last updated?

The NPPES record for Shasta Henderson was last updated on May 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5601 W EUGIE AVE STE 100, GLENDALE, AZ 85304(602) 865-4510 Get Directions Write a Review

NPPES record last updated: May 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 11, 2025, Jul 16, 2019 (2 updates tracked since 2019).

On this page

About Shasta Elizabeth Henderson Md NPPES

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

SHASTA ELIZABETH HENDERSON MD (NPI 1316383953) is an individual orthopaedic trauma provider in Glendale, Arizona, licensed in Arizona (74368) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Wake Forest University School Of Medicine (2013).

NPPES Registry Identity

NPI1316383953

Entity TypeIndividualFemale

Primary Taxonomy207XX0801X

Provider Legal NameSHASTA ELIZABETH HENDERSONCredential: MD

Location Address5601 W EUGIE AVE STE 100Glendale, AZ 85304-1256

Mailing Address1208 Red Buckeye CtMoncks Corner, SC 29461-8600 · (310) 721-8870

Phone(602) 865-4510

Sole ProprietorYes

Medical School CMSWake Forest University School Of MedicineGraduated 2013

Enumeration DateMay 21, 2013

Last NPPES UpdateMay 11, 20252 updates tracked since enumeration

NPPES CertifiedMay 11, 2025

✔ NPI 1316383953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

Licenses✔ Licensed in AZ · 74368✔ Licensed in SC · 83022

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

5601 W EUGIE AVE STE 100, Glendale, AZ 85304

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Secondary Practice Location 1

Location 19291 Medical Plaza DrCharleston, SC 29406-9126 · Phone (843) 764-1730

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross Blue Shield of Arizona and more.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

Shasta Elizabeth Henderson 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 ID2567762776

PECOS Enrollment IDI20250930002320

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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

91 services16 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.

89 services72 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

40 services40 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services27 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

27 services22 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

26 services15 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.

24 services24 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

22 services12 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

21 services13 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

19 services19 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

18 services13 patients

X-ray of pelvis, minimum of 3 views 72190

An X-ray of the pelvis with a minimum of 3 views is a diagnostic procedure that uses radiation to create images of your lower body area. This helps in detecting issues like fractures, arthritis, or other abnormalities. It's quick, non-invasive, and typically painless.

16 services12 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.

16 services16 patients

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.

100/100

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

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

81%70 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%327 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

DENISE LYN LOPEZ PA-C

Physician Assistant