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MARK SHEA HENDERSON M.D.
NPI 1639139876
Surgery in Sikeston, MO

Active since March 23, 2006PECOS Enrolled
135 PLAZA DR, SUITE 202, SIKESTON, MO 63801(573) 472-6003(573) 472-7159 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Shea Henderson M.d. NPPES

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

MARK SHEA HENDERSON M.D. (NPI 1639139876) is an individual surgery provider in Sikeston, Missouri, licensed in Texas (J4200) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639139876
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARK SHEA HENDERSONCredential: M.D.
Location Address135 PLAZA DR, SUITE 202Sikeston, MO 63801-5136
Mailing Address135 Plaza Dr, Suite 202Sikeston, MO 63801-5136 · (573) 472-6003 · Fax (573) 472-7159
Phone(573) 472-6003
Fax(573) 472-7159
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJanuary 24, 2012
✔ NPI 1639139876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · J4200
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
135 PLAZA DR, Sikeston, MO 63801
Open in Google Maps ↗

Other Identifiers 12

Medicare PIN8L13411TX
Other990010000TX · Mcare Rr
Medicare PIN8L13371TX
Medicaid113358906TX
Medicaid113358905TX
Medicare PIN8L13372TX
Medicare PIN8K7942
Medicare UPING10866TX
Medicaid113358901TX
Medicaid113358907TX
Medicare PIN0021BPTX
Other8BF145TX · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Shea Henderson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mark Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Woodlands Health Group, PLLC
576 mi
Physical Medicine & Rehabilitation
24624 INTERSTATE 45 N STE 125
Spring, TX 77386
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1902389521 (301) 928-1697

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63801 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
135 PLAZA DR, STE 101
SIKESTON, MO 63801
Scott County (573) 472-7230

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 Mark Henderson's NPI number?

The NPI number for Mark Henderson is 1639139876. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Mark Henderson located?

Mark Henderson practices at 135 Plaza Dr Suite 202, Sikeston, MO 63801. The listed phone number is (573) 472-6003.

What is Mark Henderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Henderson enrolled in Medicare?

Yes. Mark Henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Henderson reassigns Medicare benefits to Woodlands Health Group, PLLC (Spring, TX). The 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 Mark Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Henderson was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.