DR. HENRY SSENTONGO MD
NPI 1639418353
Hospitalist in Grants Pass, OR

Active since February 01, 2013PECOS EnrolledAccepts Medicare Assignment
500 SW RAMSEY AVE, GRANTS PASS, OR 97527(541) 472-7000 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Henry Ssentongo Md NPPES

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

DR. HENRY SSENTONGO MD (NPI 1639418353) is an individual hospitalist provider in Grants Pass, Oregon, licensed in Texas (Q8357) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1639418353
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. HENRY SSENTONGOCredential: MD
Location Address500 SW RAMSEY AVEGrants Pass, OR 97527
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 606-6400 · Fax (903) 606-1522
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 1, 2013
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1639418353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · Q8357
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 MD161399 (OR)
500 SW RAMSEY AVE, Grants Pass, OR 97527

Secondary Practice Locations 4

Location 1800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-7264
Location 2811 S Washington AveMarshall, TX 75670-5336 · Phone (903) 315-1488
Location 38389 S Broadway AveTyler, TX 75703-5408 · Phone (903) 606-4129
Location 4700 E Marshall AveLongview, TX 75601-5580 · Phone (903) 315-1488

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. Henry Ssentongo 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 ID5294974887
PECOS Enrollment IDI20161004002279
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.
801 services312 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.
330 services324 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.
142 services91 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.
133 services130 patients

Hospital Affiliations CMS Care Compare

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%219 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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
5 suppliers54 claims56 services$17.28 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims11 services$34.24 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
5 suppliers56 claims58 services$88.69 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers20 claims20 services$22.14 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.

Emergency Medicine
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Physician Assistant
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Nurse Anesthetist, Certified Registered
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Internal Medicine
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Nurse Practitioner (Family)
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Registered Nurse (Emergency)
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Nurse Anesthetist, Certified Registered
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Pharmacist
500 SW RAMSEY AVE
GRANTS PASS, OR 97527

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 Henry Ssentongo's NPI number?

The NPI number for Henry Ssentongo is 1639418353. It was assigned to this individual provider in the NPPES registry on February 1, 2013.

Where is Henry Ssentongo located?

Henry Ssentongo practices at 500 SW Ramsey Ave, Grants Pass, OR 97527. The listed phone number is (541) 472-7000.

What is Henry Ssentongo's specialty?

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

Is Henry Ssentongo enrolled in Medicare?

Yes. Henry Ssentongo 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 Henry Ssentongo accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Henry Ssentongo 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 Henry Ssentongo affiliated with any hospitals?

According to CMS data, Henry Ssentongo is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Henry Ssentongo was last updated on February 14, 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.