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MR. DEREK ALLEN HENDERSON PA
NPI 1447530498
Physician Assistant in Buchanan, MI

Active since August 23, 2011PECOS EnrolledAccepts Medicare Assignment
1045 E FRONT ST, BUCHANAN, MI 49107(269) 695-5540(269) 695-0412 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derek Allen Henderson Pa NPPES

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

MR. DEREK ALLEN HENDERSON PA (NPI 1447530498) is an individual physician assistant in Buchanan, Michigan, licensed in Michigan (5601006108) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1447530498
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DEREK ALLEN HENDERSONCredential: PA
Location Address1045 E FRONT STBuchanan, MI 49107-8474
Mailing AddressPo Box 437Buchanan, MI 49107-0437 · (269) 695-0262 · Fax (269) 695-2590
Phone(269) 695-5540
Fax(269) 695-0412
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 23, 2011
Last NPPES UpdateOctober 13, 2016
✔ NPI 1447530498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601006108
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1045 E FRONT ST, Buchanan, MI 49107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mr. Derek Allen Henderson Pa 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 ID8325219397
PECOS Enrollment IDI20110922000774
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 5

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 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.
234 services112 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.
67 services55 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
63 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49107 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims45 services$6.62 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$52.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

SOUTHWEST VISION CENTER INC.
Optometrist
1045 E FRONT ST, SUITE B4
BUCHANAN, MI 49107
Berrien County (269) 695-9011
MEGAN MCQUINN
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
OLIVIA COCHRAN NP
Nurse Practitioner (Family)
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
ROY B PARKE D.O.
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
DR. AUDREY LYNN WEDDE D.O.
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
CYNTHIA PAPENDICK APRN BC INC
Registered Nurse (Psychiatric/Mental Health)
1045 E FRONT ST, SUITE B2
BUCHANAN, MI 49107
Berrien County (269) 695-1113
JULIA KOSTYUK FNP-BC
Nurse Practitioner (Primary Care)
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
LAKELAND MEDICAL PRACTICES
Family Medicine
1045 E FRONT ST, SUITE A
BUCHANAN, MI 49107
Berrien County (269) 695-5540

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 Derek Henderson's NPI number?

The NPI number for Derek Henderson is 1447530498. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Where is Derek Henderson located?

Derek Henderson practices at 1045 E Front St, Buchanan, MI 49107. The listed phone number is (269) 695-5540.

What is Derek Henderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Derek Henderson enrolled in Medicare?

Yes. Derek 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.

What insurance does Derek Henderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Derek 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 Derek Henderson affiliated with any hospitals?

According to CMS data, Derek Henderson is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Derek Henderson was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.