DAVID RANDALL HENDERSON
NPI 1629746003
Nurse Practitioner - Acute Care in Austin, TX

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment
72.19/100
CMS Quality Rating
1601 TRINITY ST, AUSTIN, TX 78712(833) 882-2737 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2024, Jul 26, 2024, Dec 13, 2021 (3 updates tracked since 2021).

About David Randall Henderson NPPES

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

DAVID RANDALL HENDERSON (NPI 1629746003) is an individual acute care provider in Austin, Texas, licensed in Texas (1149942) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629746003
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDAVID RANDALL HENDERSON
Location Address1601 TRINITY STAustin, TX 78712-1765
Mailing Address1601 Trinity St Stop Z0200Austin, TX 78712-1850 · (833) 882-2737
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 1, 2021
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1629746003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1149942
1601 TRINITY ST, Austin, TX 78712

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Randall Henderson 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 ID6800284118
PECOS Enrollment IDI20240828005101
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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1601 TRINITY ST
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 294 clinicians in this Medicare group
General Practice
1601 TRINITY STREET
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services41 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.
41 services41 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.
17 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.76
Promoting Interoperability100
Improvement Activities40
Cost36.63

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.

Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Psychiatry & Neurology (Psychiatry)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Critical Care Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Rheumatology)
1601 TRINITY ST
AUSTIN, TX 78712
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Physician Assistant (Medical)
1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712

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 David Henderson's NPI number?

The NPI number for David Henderson is 1629746003. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is David Henderson located?

David Henderson practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (833) 882-2737.

What is David Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is David Henderson enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Henderson reassigns Medicare benefits to 2 organizations: The University Of Texas At Austin (Austin, TX) and University Of Texas At Austin Dell Medical School (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Henderson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list David 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.

When was this NPI record last updated?

The NPPES record for David Henderson was last updated on September 5, 2024. 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.