DAVID J HENDERSON MD
NPI 1417933284
Urology in Bountiful, UT
About David J Henderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID J HENDERSON MD (NPI 1417933284) is an individual urology provider in Bountiful, Utah, licensed in Utah (1593801205) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Lakeview Hospital, and is a graduate of University Of Utah School Of Medicine (1975).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David J 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.
Medicare Billing Reassignments
2Medicare enrollment records show David Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bountiful, UT 84010
- Reassigned Medicare billing, Utah enrollment
- 2 clinicians in this Medicare group
Bountiful, UT 84010
- Reassigned Medicare billing, Utah enrollment
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 12
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeview Hospital
Acute Care Hospitals · Bountiful, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 David Henderson's NPI number?
The NPI number for David Henderson is 1417933284. It was assigned to this individual provider in the NPPES registry on December 22, 2005.
Where is David Henderson located?
David Henderson practices at 440 Medical Dr Ste 3, Bountiful, UT 84010. The listed phone number is (385) 722-9566.
What is David Henderson's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is David Henderson enrolled in Medicare?
Yes. David Henderson 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.
Which organizations bill Medicare for David Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Henderson reassigns Medicare benefits to 2 organizations: Scott A Erickson MD, PC (Bountiful, UT) and David J Henderson M D A Professional Corporation (Bountiful, UT). 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 David Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Henderson accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list David 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.
Is David Henderson affiliated with any hospitals?
According to CMS data, David Henderson is affiliated with Lakeview Hospital.
When was this NPI record last updated?
The NPPES record for David Henderson was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# David J Henderson, MD · NPI 1417933284
Urology physician in Bountiful, Utah. Individual provider, active in the CMS NPPES registry since December 22, 2005.
## Identity
- **NPI:** 1417933284 (Entity type: Individual)
- **Enumerated:** December 22, 2005
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 1593801205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 440 MEDICAL DR STE 3, Bountiful, UT 84010-5174
- **Phone:** (385) 722-9566 · **Fax:** (385) 722-9567
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Scott A Erickson MD, PC (NPI 1972500882, Bountiful, UT); David J Henderson M D A Professional Corporation (NPI 1760512578, Bountiful, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 1975
## Record status
- **NPPES last updated:** January 17, 2025
- **Other identifiers:** Medicaid 1518109032 (UT); Medicaid 05356 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1417933284) · Data from the CMS NPPES public registry.