ROY HENDERSON MD
NPI 1861426694
Family Medicine - Sports Medicine in Carmel, IN

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
14535A HAZEL DELL PKWY, CARMEL, IN 46033(317) 705-4360(317) 705-4361 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 27, 2017 (3 updates tracked since 2017).

About Roy Henderson Md NPPES

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

ROY HENDERSON MD (NPI 1861426694) is an individual sports medicine provider in Carmel, Indiana, licensed in Indiana (01075456A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Westfield, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1861426694
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameROY HENDERSONCredential: MD
Location Address14535A HAZEL DELL PKWYCarmel, IN 46033-9401
Mailing AddressPo Box 869Noblesville, IN 46061-0869 · (317) 770-6900 · Fax (317) 770-6911
Fax(317) 705-4361
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1861426694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses✔ Licensed in IN · 01075456A✔ Licensed in IL · 036104711
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036-104711 (IL), 01075456A (IN)
14535A HAZEL DELL PKWY, Carmel, IN 46033

Secondary Practice Location 1

Location 1510 E State Road 32 Ste AWestfield, IN 46074-8767 · Phone (317) 867-5263 · Fax (317) 867-2031

Other Identifiers 2

Medicaid036104711IL
Medicaid201291730IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roy Henderson 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 ID3173663689
PECOS Enrollment IDI20150611001103
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 Reassignments

2

Medicare enrollment records show Roy Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 737 clinicians in this Medicare group
Urgent Care
5080 SPECTRUM DRIVE, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Indiana enrollment
  • 50 clinicians in this Medicare group

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 46033 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 14

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

Orthopaedic Surgery
14535A HAZEL DELL PKWY
CARMEL, IN 46033
Podiatrist (Foot & Ankle Surgery)
14535A HAZEL DELL PKWY
CARMEL, IN 46033
Specialist/Technologist (Athletic Trainer)
14535A HAZEL DELL PKWY
CARMEL, IN 46033
Orthopaedic Surgery
14535A HAZEL DELL PKWY
CARMEL, IN 46033
Family Medicine
14535A HAZEL DELL PKWY
CARMEL, IN 46033
Family Medicine
14535A HAZEL DELL PKWY
CARMEL, IN 46033
Physical Therapist
14535A HAZEL DELL PKWY
CARMEL, IN 46033
Family Medicine
14535A HAZEL DELL PKWY
CARMEL, IN 46033

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 Roy Henderson's NPI number?

The NPI number for Roy Henderson is 1861426694. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Roy Henderson located?

Roy Henderson practices at 14535A Hazel Dell Pkwy, Carmel, IN 46033. The listed phone number is (317) 705-4360.

What is Roy Henderson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Roy Henderson enrolled in Medicare?

Yes. Roy 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.

Which organizations bill Medicare for Roy Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Henderson reassigns Medicare benefits to 2 organizations: University Family Physicians, Inc. (Indianapolis, IN) and American Current Care PA (Addison, TX). Each 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 Roy Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roy Henderson accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Roy 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.

When was this NPI record last updated?

The NPPES record for Roy Henderson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.