MICHAEL J HENRY MD
NPI 1689644817
Ophthalmology in Visalia, CA

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
5021 W NOBLE AVE, SUITE A, VISALIA, CA 93277(559) 627-9393(559) 627-1624 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Henry Md NPPES

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

MICHAEL J HENRY MD (NPI 1689644817) is an individual ophthalmology provider in Visalia, California, licensed in California (A94551) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2001).

NPPES Registry Identity

NPI1689644817
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL J HENRYCredential: MD
Location Address5021 W NOBLE AVE, SUITE AVisalia, CA 93277-8310
Mailing Address5021 W Noble Ave, Suite AVisalia, CA 93277-8310 · (559) 627-9393 · Fax (559) 627-1624
Fax(559) 627-1624
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2001
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1689644817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CA · A94551 Licensed in MI · 4301085099
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5021 W NOBLE AVE, Visalia, CA 93277

Other Identifiers 2

Other5315020937MI · Controlled Substance
Medicaid4766107MI

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

Michael J Henry 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 ID4880626878
PECOS Enrollment IDI20060731000122
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 24

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
1,712 services22 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.
531 services471 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
511 services175 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
304 services300 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
303 services159 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
242 services237 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93277 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost20.69

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%513 patients
Falls: Screening for Future Fall Risk
100%1,707 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
88%194 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,384 patients
Patients screened: 100% · 1,384 patients
100%59 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%181 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,778 patients
Patients totalRate: 0% · 1,778 patients
0%1,778 patients5/55-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 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Repair prosthetic device, labor component, per 15 minutes L7520
DME-Orthotic Devices · category DF000N
1 supplier25 claims152 services$37.48 avg. paid by Medicare
Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers55 claims55 services$66.42 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims35 services$49.09 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims22 services$54.04 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims19 services$54.58 avg. paid by Medicare
Polishing/resurfacing of ocular prosthesis V2624
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier23 claims24 services$48.37 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 8

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

Specialist
5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277
Optometrist
5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277
Clinic/Center (Ambulatory Surgical)
5021 W NOBLE AVE, SUITE B
VISALIA, CA 93277
Ophthalmology
5021 W NOBLE AVE, STE A
VISALIA, CA 93277
Ophthalmology
5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277
Ophthalmology
5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277
Optometrist
5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277
Optometrist
5021 W NOBLE AVE
VISALIA, CA 93277

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 Michael Henry's NPI number?

The NPI number for Michael Henry is 1689644817. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Michael Henry located?

Michael Henry practices at 5021 W Noble Ave Suite A, Visalia, CA 93277. The listed phone number is (559) 627-9393.

What is Michael Henry's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Henry enrolled in Medicare?

Yes. Michael Henry 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 Michael Henry accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Michael Henry 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 Michael Henry was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.