DR. JUSTIN L HENDERSON M.D.
NPI 1588869861
Internal Medicine - Critical Care Medicine in Montgomery, OH

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10500 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 865-2246(513) 865-5552 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 3, 2023, Apr 12, 2019, Aug 26, 2016 (3 updates tracked since 2016).

About Dr. Justin L Henderson M.d. NPPES

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

DR. JUSTIN L HENDERSON M.D. (NPI 1588869861) is an individual critical care medicine provider in Montgomery, Ohio, licensed in Ohio (35.095748) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1588869861
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. JUSTIN L HENDERSONCredential: M.D.
Location Address10500 MONTGOMERY RDMontgomery, OH 45242-4402
Mailing Address10500 Montgomery RdMontgomery, OH 45242-4402 · (513) 865-2246 · Fax (513) 865-5552
Fax(513) 865-5552
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2006
Enumeration DateJune 18, 2007
Last NPPES UpdateOctober 3, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
NPI 1588869861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in OH · 35.095748
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35095748 (OH), 81480 (AZ)
10500 MONTGOMERY RD, Montgomery, OH 45242

Secondary Practice Locations 3

Location 11 Medical Center DrMiddletown, OH 45005 · Phone (513) 974-4754
Location 21111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 239-2296
Location 37500 State RdCincinnati, OH 45255-2439 · Phone (513) 624-4500

Accepted 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

Dr. Justin L Henderson M.d. 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 ID7911145453
PECOS Enrollment IDI20141031001394
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services81 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
53 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services43 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
31 services17 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hospitalist
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Pharmacist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Internal Medicine
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Internal Medicine (Critical Care Medicine)
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Physician Assistant
10500 MONTGOMERY RD
CINCINNATI, OH 45242

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 Justin Henderson's NPI number?

The NPI number for Justin Henderson is 1588869861. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Justin Henderson located?

Justin Henderson practices at 10500 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 865-2246.

What is Justin Henderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Justin Henderson enrolled in Medicare?

Yes. Justin 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 Justin Henderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Justin 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 Justin Henderson affiliated with any hospitals?

According to CMS data, Justin Henderson is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital, Bethesda North and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Justin Henderson was last updated on October 3, 2023. 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.