CLARISSA F HENSON M.D.
NPI 1568411908
Radiology - Radiation Oncology in Camden, NJ

NPI Status: Active since May 10, 2006

Contact Information

1 COOPER PLZ
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2300
Fax: (856) 968-8361

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  • Individual
  • Female
  • Years of Experience 24
  • Radiology
  • Radiation Oncology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About CLARISSA HENSON

Clarissa Henson is a provider established in Camden, New Jersey and her medical specialization is Radiology with a focus in radiation oncology with more than 24 years of experience. She graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2000. The healthcare provider is registered in the NPI registry with number 1568411908 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0001X with license number 25MA079487 (NJ). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1568411908
Provider Name
CLARISSA F HENSON M.D.
Gender
Female
Entity Type
Individual
Location Address
1 COOPER PLZ CAMDEN, NJ 08103
Location Phone
(856) 342-2300
Location Fax
(856) 968-8361
Mailing Address
1 COOPER PLZ CAMDEN, NJ 08103
Mailing Phone
(856) 342-2300
Mailing Fax
(856) 968-8361
Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
05-10-2006
Last Update Date
07-08-2007
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Clarissa Henson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $48.26 for a new patient copayment and $20.03 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
25MA079487
License State
NJ
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Gold - EPO
    • Everyday Gold + Vision + Adult Dental - EPO
    • Everyday Silver - EPO
    • Everyday Silver + Vision + Adult Dental - EPO
    • Focused Silver - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0093947MEDICAID (05)NJ 
099318MEDICARE ID-TYPE UNSPECIFIED (04)NJ 

PECOS Enrollment and Medicare Participation Status

Clarissa Henson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2264449925

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060321000604

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 08103 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $193.06
  • Minimum New Patient Price $64.36
  • Maximum New Patient Price $193.06
  • Average New Patient Copayment $48.26
  • Minimum New Patient Copayment $16.09
  • Maximum New Patient Copayment $48.26

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $80.12
  • Minimum Established Patient Price $20.44
  • Maximum Established Patient Price $158.01
  • Average Established Patient Copayment $20.03
  • Minimum Established Patient Copayment $5.11
  • Maximum Established Patient Copayment $39.5

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 367

    Ct scan guidance for insertion of radiation therapy fields (HCPCS:77014)

  • 128

    Radiation treatment management, 5 treatments (HCPCS:77427)

  • 105

    Radiation treatment devices, design and construction, complex (HCPCS:77334)

  • 95

    Calculation of radiation therapy dose (HCPCS:77300)

  • 31

    Management of radiation therapy, complex (HCPCS:77263)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Clarissa Henson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TRINITAS REGIONAL MEDICAL CENTER225 WILLIAMSON STREET
ELIZABETH, NJ 7207
(908) 994-5000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568411908
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512881290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 1 + 2 + 9 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1568411908 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245230911 DANIEL KWA M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 COOPER PLZ
CAMDEN, NJ 08103
(856) 342-2506
1194793836 MUHAMMAD MUNTAZAR MD
Individual
Anesthesiology1 COOPER PLZ COOPER ANESTHESIA ASSOCIATES
CAMDEN, NJ 08103
(856) 968-7334
1285696559 JINGHONG YONG MD
Individual
Anesthesiology1 COOPER PLZ COOPER ANESTHESIA ASSOCIATES
CAMDEN, NJ 08103
(856) 342-2425
1518916139 CHERYL SEABRON RAMBERT MD
Individual
Anesthesiology1 COOPER PLZ COOPER ANESTHESIA ASSOCIATES
CAMDEN, NJ 08103
(856) 342-2425
1063463172 RENEE WATERS MD
Individual
Specialist1 COOPER PLZ COOPER ANESTHESIA ASSOCIATES
CAMDEN, NJ 08103
(856) 968-7433
1174576086 AFFIONG K UTUK CRNA
Individual
Nurse Anesthetist, Certified Registered1 COOPER PLZ COOPER ANESTHESIA ASSOCIATES
CAMDEN, NJ 08103
(856) 342-2000
1902844251 ROBERT T SMITH M.D.
Individual
Radiology (Diagnostic Radiology)1 COOPER PLZ COOPER UNIVERSITY RADIOLOGY
CAMDEN, NJ 08103
(856) 342-2480
1053356188 DEAN THOMAS MAZUREK CRNA
Individual
Nurse Anesthetist, Certified Registered1 COOPER PLZ COOPER ANESTHESIA ASSOCIATES
CAMDEN, NJ 08103
(856) 342-2425
1740226539 MARY C. FRANCIS APN, RN
Individual
Nurse Practitioner (Critical Care Medicine)1 COOPER PLZ COOPER UNIVERISTY TRAUMA PHYSICIANS
CAMDEN, NJ 08103
(856) 342-3014
1871520072DR. NATHAN SAMUEL NEGIN MD
Individual
Internal Medicine1 COOPER PLZ HOSPITALIST PROGRAM
CAMDEN, NJ 08103
(856) 342-3150
1831126523 WILLIAM J KLUMP MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 COOPER PLZ
CAMDEN, NJ 08103
(856) 342-2506
1346270154DR. JULIO MATA MD
Individual
Radiology (Diagnostic Radiology)1 COOPER PLZ
CAMDEN, NJ 08103
(856) 342-2383
1477583284DR. EDWARD G. MOSS MD
Individual
Radiology (Diagnostic Radiology)1 COOPER PLZ COOPER UNIVERISTY RADIOLOGY
CAMDEN, NJ 08103
(856) 342-2383
1801810379DR. ERIBERTO T. DAVID MD
Individual
Radiology (Diagnostic Radiology)1 COOPER PLZ COOPER UNIVERSITY RADIOLOGY
CAMDEN, NJ 08103
(856) 342-2383
1295745966 GEROGE TSIOTSIAS DO
Individual
Surgery (Trauma Surgery)1 COOPER PLZ COOPER UNIVERISTY TRAUMA PHYSICIANS
CAMDEN, NJ 08103
(856) 342-3014
1558479667 FRANCESCO G FLORIO DO
Individual
Radiology (Body Imaging)1 COOPER PLZ
CAMDEN, NJ 08103
(856) 342-2380
1427155167DR. ROBERT M WHITE M.D.
Individual
Radiology (Diagnostic Radiology)1 COOPER PLZ COOPER UNIVERISTY RADIOLOGY
CAMDEN, NJ 08103
(856) 342-2382
1609973700DR. FRANK J DEANGELO MD
Individual
Surgery (Trauma Surgery)1 COOPER PLZ COOPER UNIVERSITY TRAUMA PHYSICIANS
CAMDEN, NJ 08103
(856) 342-3014
1326148008 WILLA M GREENBERG DO
Individual
Physical Medicine & Rehabilitation1 COOPER PLZ THE COOPER HOSPITALIST TEAM
CAMDEN, NJ 08103
(856) 342-3150
1639279326 ELLIOT M HARRIS MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)1 COOPER PLZ COOPER UNIVERISTY EMERGENCY PHYISCIANS
CAMDEN, NJ 08103
(856) 342-2351

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568411908, enumerated in the NPI registry as an "individual" on May 10, 2006

The provider is located at 1 Cooper Plz Camden, Nj 08103 and the phone number is (856) 342-2300

The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider has more than 24 years of experience. She graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2000.

The provider might be accepting Accepts: Ambetter Health of Delaware, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $193.06 with an average copayment of $48.26 for new patient appointments. Established patients should expect a typical charge of $80.12 and an average copayment of 20.03. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Ct scan guidance for insertion of radiation therapy fields, Radiation treatment management, 5 treatments, Radiation treatment devices, design and construction, complex, Calculation of radiation therapy dose and Management of radiation therapy, complex.

The practitioner is affiliated to the following hospital(s): TRINITAS REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.