GREGORY PHILIP HENDERSON M.D.
NPI 1619109519
Dermatology - MOHS-Micrographic Surgery in Newport Beach, CA

Active since August 11, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1441 AVOCADO AVE STE 409, NEWPORT BEACH, CA 92660(949) 640-4501 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory Philip Henderson M.d. NPPES

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

GREGORY PHILIP HENDERSON M.D. (NPI 1619109519) is an individual mohs-micrographic surgery provider in Newport Beach, California, licensed in California (A125261) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Pedro, and is a graduate of University Of Southern California Keck School Of Medicine (2009).

NPPES Registry Identity

NPI1619109519
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameGREGORY PHILIP HENDERSONCredential: M.D.
Location Address1441 AVOCADO AVE STE 409Newport Beach, CA 92660-7705
Mailing Address1441 Avocado Ave Ste 409Newport Beach, CA 92660-7705 · (949) 640-4501
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2009
Enumeration DateAugust 11, 2009
Last NPPES UpdateJune 18, 2020
NPPES CertifiedJune 18, 2020
NPI 1619109519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in CA · A125261
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License A125261 (CA)
1441 AVOCADO AVE STE 409, Newport Beach, CA 92660

Secondary Practice Location 1

Location 11360 W 6th St Ste 270San Pedro, CA 90732-3539 · Phone (310) 831-1272

Other Identifiers 3

MedicaidENROLLEDMN
MedicaidENROLLEDIA
OtherP00940083MN · Railroad Medicare

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

Gregory Philip 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 ID9537283890
PECOS Enrollment IDI20131211000965
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 42

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,112 services582 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.
1,287 services726 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,130 services715 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.
895 services658 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
648 services470 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
473 services329 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine (Infectious Disease)
1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 92660
Nurse Practitioner
1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 92660
Physician Assistant
1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 92660
Specialist
1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 92660

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 Gregory Henderson's NPI number?

The NPI number for Gregory Henderson is 1619109519. It was assigned to this individual provider in the NPPES registry on August 11, 2009.

Where is Gregory Henderson located?

Gregory Henderson practices at 1441 Avocado Ave Ste 409, Newport Beach, CA 92660. The listed phone number is (949) 640-4501.

What is Gregory Henderson's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Gregory Henderson enrolled in Medicare?

Yes. Gregory 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.

When was this NPI record last updated?

The NPPES record for Gregory Henderson was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.