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DEREK K HENSON MD
NPI 1629010699
Hospitalist in Lexington, KY

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
1401 HARRODSBURG RD, SUITE A-510, LEXINGTON, KY 40504(859) 258-6784(859) 258-6796 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Derek K Henson Md NPPES

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

DEREK K HENSON MD (NPI 1629010699) is an individual hospitalist provider in Lexington, Kentucky, licensed in Kentucky (30562) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of University Of Kentucky College Of Medicine (1993).

NPPES Registry Identity

NPI1629010699
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDEREK K HENSONCredential: MD
Location Address1401 HARRODSBURG RD, SUITE A-510Lexington, KY 40504-3751
Mailing Address1401 Harrodsburg Rd, Suite A-510Lexington, KY 40504-3751 · (859) 258-6784 · Fax (859) 258-6796
Phone(859) 258-6784
Fax(859) 258-6796
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1993
Enumeration DateJune 12, 2006
Last NPPES UpdateJanuary 3, 2017
✔ NPI 1629010699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KY · 30562
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 30562 (KY)
1401 HARRODSBURG RD, Lexington, KY 40504
Open in Google Maps ↗

Other Identifiers 6

Medicare PIN0169KY
Medicare PIN0654803KY
Medicare PIN0758317KY
Medicare UPINF89745
Medicaid64305626KY
Medicare PIN0614723KY

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

Derek K Henson 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.

PECOS PAC ID5698769495
PECOS Enrollment IDI20040414000044
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
767 services206 patients
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.
163 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
140 services128 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$15.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers37 claims37 services$61.40 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 20

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

OLEVA C SCHOEDLBAUER P.A.-C.
Physician Assistant
1401 HARRODSBURG RD, SUITE A-540
LEXINGTON, KY 40504
Fayette County (859) 258-6760
ARMAGHAN YUNIS SOOMRO MD
Internal Medicine (Interventional Cardiology)
1401 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 276-4429
JANALYN PROWS M.D.
Radiology (Radiation Oncology)
1401 HARRODSBURG RD, SUITE A-100
LEXINGTON, KY 40504
Fayette County (859) 258-6505
MR. ROBERT GREG MCMORROW MD
Internal Medicine (Nephrology)
1401 HARRODSBURG RD, C 335
LEXINGTON, KY 40504
Fayette County (859) 276-5355
LAURA RARDIN-ECTON PA-C
Physician Assistant
1401 HARRODSBURG RD, SUITE B275
LEXINGTON, KY 40504
Fayette County (859) 278-2334
DR. JUSTIN DALE JOHNSON M.D.
Urology
1401 HARRODSBURG RD, SUITE C-215
LEXINGTON, KY 40504
Fayette County (859) 258-6450
DANILO CORALES
Internal Medicine
1401 HARRODSBURG RD, B 299
LEXINGTON, KY 40504
Fayette County (859) 276-0714
NEIL R FARRIS MD
Internal Medicine
1401 HARRODSBURG RD, SUITE C215
LEXINGTON, KY 40504
Fayette County (859) 278-9413

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 Henson's NPI number?

The NPI number for Derek Henson is 1629010699. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Derek Henson located?

Derek Henson practices at 1401 Harrodsburg Rd Suite A-510, Lexington, KY 40504. The listed phone number is (859) 258-6784.

What is Derek Henson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Derek Henson enrolled in Medicare?

Yes. Derek Henson 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.

Is Derek Henson affiliated with any hospitals?

According to CMS data, Derek Henson is affiliated with Saint Joseph Hospital, Saint Joseph London and Saint Joseph Mount Sterling.

When was this NPI record last updated?

The NPPES record for Derek Henson was last updated on January 3, 2017. 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.