PAUL MELVIN HENSON III MD
NPI 1396270740
Family Medicine - Sports Medicine in Huntersville, NC

Q: What is Paul Henson's NPI number?

The NPI number for Paul Henson is 1396270740. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Paul Henson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Paul Henson was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 24, 2017PECOS Enrolled

95.35/100

CMS Quality Rating

16645 BIRKDALE COMMONS PKWY, STE 100A, HUNTERSVILLE, NC 28078(704) 863-4878 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 9 more (12 updates tracked since 2017).

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About Paul Melvin Henson Iii Md NPPES

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

PAUL MELVIN HENSON III MD (NPI 1396270740) is an individual sports medicine provider in Huntersville, North Carolina, licensed in North Carolina (2020-02758) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Atrium Health University City, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396270740

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NamePAUL MELVIN HENSON IIICredential: MD

Location Address16645 BIRKDALE COMMONS PKWY, STE 100AHuntersville, NC 28078-5669

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 863-4878

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017

Enumeration DateApril 24, 2017

Last NPPES UpdateJuly 15, 202412 updates tracked since enumeration

✔ NPI 1396270740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NC · 2020-02758

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2020-02758 (NC)

16645 BIRKDALE COMMONS PKWY, Huntersville, NC 28078

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Secondary Practice Locations 4

Location 19726 Sam Furr RdHuntersville, NC 28078-8218 · Phone (704) 863-4878

Location 214214 Ballantyne Lake Rd, Ste 150Charlotte, NC 28277-3372 · Phone (704) 863-4878

Location 35651 Poplar Tent Rd, Ste 102Concord, NC 28027-7686 · Phone (704) 863-4878

Location 45735 Prosperity Crossing Dr, STE 2100Charlotte, NC 28269-1360 · Phone (704) 863-4878

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 (PECOS)

Paul Melvin Henson Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446521892

PECOS Enrollment IDI20210527001719, I20211124002162

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 8

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.

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg J7328

Gelsyn-3 is a treatment involving injections of a substance called hyaluronan into the joint space. Hyaluronan is naturally present in healthy joint fluid, aiding in lubrication and shock absorption. This treatment helps relieve joint pain, often in conditions like osteoarthritis.

9,576 services14 patients

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.

390 services65 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

134 services51 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.

132 services92 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services46 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.

50 services50 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health University City

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340166

Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

95.35/100

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

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

MICAELA SCHEMPF PA-C

Physician Assistant

16645 BIRKDALE COMMONS PKWY
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 863-4878

FRANCOIS JACQUES LEOPOLD PICOT MD

Psychiatry & Neurology (Neurology)

16645 BIRKDALE COMMONS PKWY, STE 200D
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-1440

PENNY LINGERFELT HENNESSEE FNP

Nurse Practitioner (Family)

16645 BIRKDALE COMMONS PKWY, STE 100
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-7390

CAROLINAS PHYSICIANS NETWORK INC

Family Medicine (Sports Medicine)

16645 BIRKDALE COMMONS PKWY, STE 100A
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 863-4878

HOPE ELIZABETH BUFFUM PA

Physician Assistant

16645 BIRKDALE COMMONS PKWY, STE 100
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-7390

CAROLINAS PHYSICIANS NETWORK INC

Orthopaedic Surgery

16645 BIRKDALE COMMONS PKWY
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 863-4878

DR. JUSTIN DENNIS O'GUINN MD

Orthopaedic Surgery

16645 BIRKDALE COMMONS PKWY
HUNTERSVILLE, NC 28078

Mecklenburg County (501) 350-2742

KATHERINE MARSHALL SCHULTZ PA

Physician Assistant

16645 BIRKDALE COMMONS PKWY, STE 200D
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-1440

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 Paul Henson's NPI number?

The NPI number for Paul Henson is 1396270740. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Paul Henson located?

Paul Henson practices at 16645 Birkdale Commons Pkwy Ste 100A, Huntersville, NC 28078. The listed phone number is (704) 863-4878.

What is Paul Henson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Paul Henson enrolled in Medicare?

Yes. Paul Henson is registered in the Medicare PECOS enrollment system.

What insurance does Paul Henson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Paul Henson 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 Paul Henson affiliated with any hospitals?

According to CMS data, Paul Henson is affiliated with Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Paul Henson was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.