MARTIN MCMILLAN HENEGAR MD
NPI 1831197698
Neurological Surgery in Charlotte, NC

Active since July 14, 2005PECOS Enrolled
100/100
CMS Quality Rating
225 BALDWIN AVE, CHARLOTTE, NC 28204(704) 376-1605(704) 335-8448 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, Oct 30, 2020 (2 updates tracked since 2020).

About Martin Mcmillan Henegar Md NPPES

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

MARTIN MCMILLAN HENEGAR MD (NPI 1831197698) is an individual neurological surgery provider in Charlotte, North Carolina, licensed in North Carolina (9700984) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1990).

NPPES Registry Identity

NPI1831197698
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMARTIN MCMILLAN HENEGARCredential: MD
Location Address225 BALDWIN AVECharlotte, NC 28204-3109
Mailing Address225 Baldwin AveCharlotte, NC 28204-3109 · (704) 376-1605 · Fax (704) 335-8448
Fax(704) 335-8448
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1990
Enumeration DateJuly 14, 2005
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1831197698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NC · 9700984
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
225 BALDWIN AVE, Charlotte, NC 28204

Other Identifiers 3

Medicaid8910874NC
Other140005430Railroad Medicare
MedicaidN00986SC

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 (PECOS)

Martin Mcmillan Henegar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365526050
PECOS Enrollment IDI20100302000392, I20100303000315
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 15

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 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.
112 services84 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.
46 services42 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
44 services44 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.
43 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services39 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
26 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
99%301 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.

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.

Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant (Surgical)
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant
225 BALDWIN AVE
CHARLOTTE, NC 28204
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC 28204
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204

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 Martin Henegar's NPI number?

The NPI number for Martin Henegar is 1831197698. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Martin Henegar located?

Martin Henegar practices at 225 Baldwin Ave, Charlotte, NC 28204. The listed phone number is (704) 376-1605.

What is Martin Henegar's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Martin Henegar enrolled in Medicare?

Yes. Martin Henegar is registered in the Medicare PECOS enrollment system.

What insurance does Martin Henegar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Martin Henegar 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 Martin Henegar affiliated with any hospitals?

According to CMS data, Martin Henegar is affiliated with Carolinas Medical Center-Northeast, Atrium Health Pineville, Carolinas Medical Center/Behav Health, Atrium Health Union and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Martin Henegar was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.