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DAVID CHARLES HENDERSON M.D.
NPI 1720427404
Family Medicine in Grand Rapids, MI

Active since June 17, 2013PECOS EnrolledAccepts Medicare Assignment
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-6830(616) 685-8910 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Charles Henderson M.d. NPPES

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

DAVID CHARLES HENDERSON M.D. (NPI 1720427404) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301102998) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Michigan State University College Of Human Medicine (2013).

NPPES Registry Identity

NPI1720427404
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID CHARLES HENDERSONCredential: M.D.
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing Address1900 44th St SeKentwood, MI 49508-5008 · (616) 685-1808 · Fax (616) 685-8099
Phone(616) 685-6830
Fax(616) 685-8910
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2013
Enumeration DateJune 17, 2013
Last NPPES UpdateAugust 2, 2016
✔ NPI 1720427404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301102998
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

David Charles Henderson M.d. 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 ID9830333723
PECOS Enrollment IDI20150708001907
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 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.
108 services34 patients
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.
30 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services18 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

KATHARINE LIND THOMPSON PT
Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
ANNE MARIE TALBOT CRNA
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6063
DR. ADAM MICHAEL ANDERSON MD
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000
MARIA E DIMUSTO-POORTENGA MD
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Kent County (616) 752-6554
THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5030
MELISSA SUE HUDECZ MS, OTR/L
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
TIMOTHY RUSSELL LEONARD
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 465-5910
CAMRIA RENEE DEATON BSN, RN
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000

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 1720427404. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is David Henderson located?

David Henderson practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-6830.

What is David Henderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.

What insurance does David Henderson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health 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.

Is David Henderson affiliated with any hospitals?

According to CMS data, David Henderson is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for David Henderson was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.