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SUSAN J HENLEY MD
NPI 1902867781
Family Medicine in Baltimore, MD

Active since March 31, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 21D0976506 · Microscopy
1501 SULGRAVE AVE, STE 306, BALTIMORE, MD 21209(410) 433-8801(410) 433-8801 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan J Henley Md NPPES

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

SUSAN J HENLEY MD (NPI 1902867781) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D0043591) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through April 10, 2027, and is a graduate of University Of Maryland School Of Medicine (1989).

NPPES Registry Identity

NPI1902867781
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN J HENLEYCredential: MD
Location Address1501 SULGRAVE AVE, STE 306Baltimore, MD 21209-3651
Mailing Address1501 Sulgrave Ave, Ste 306Baltimore, MD 21209-3651 · (410) 433-8801 · Fax (410) 433-8803
Phone(410) 433-8801
Fax(410) 433-8801
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1989
Enumeration DateMarch 31, 2006
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1902867781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0043591
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.
1501 SULGRAVE AVE, Baltimore, MD 21209
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Other Identifiers 3

Medicare UPINF53376
Medicare PIN329RMD
Medicaid191361100MD

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

Susan J Henley 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 ID6507040888
PECOS Enrollment IDI20110411000787
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0976506

Susan J Henley MD · Baltimore, MD
Active · expires Apr 10, 2027
CLIA Number21D0976506
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorSusan J. Henley
Laboratory Phone(410) 433-8801
Laboratory LocationSusan J Henley MD1501 Sulgrave Avenue #306, Baltimore, MD 21209
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
121 services38 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.
95 services45 patients
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.
54 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
23 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,738 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
37%230 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%52 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
24%294 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%294 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%294 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
11%294 patients
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 3

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
1 supplier11 claims11 services$17.18 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
1 supplier11 claims11 services$65.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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.

EMMA L EARNEST LMSW
Social Worker
1501 SULGRAVE AVE
BALTIMORE, MD 21209
Baltimore County (443) 708-5856
MICHAL TSEMACH LCSW-C
Social Worker (Clinical)
1501 SULGRAVE AVE
BALTIMORE, MD 21209
Baltimore County (410) 502-2746
DR. LAWRENCE J. RAIFMAN PH.D., J. D.
Psychologist (Clinical)
1501 SULGRAVE AVE, SUITE 208
BALTIMORE, MD 21209
Baltimore County (410) 998-9245
DELORAN L WILSON M.D.
Psychiatry & Neurology (Psychiatry)
1501 SULGRAVE AVE
BALTIMORE, MD 21209
Baltimore County (443) 708-5856
STREGA THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1501 SULGRAVE AVE
BALTIMORE, MD 21209
Baltimore County (410) 216-4514
MS. JILL L MINSKY LCSW-C
Social Worker (Clinical)
1501 SULGRAVE AVE, SUITE 200
BALTIMORE, MD 21209
Baltimore County (410) 963-4789
DR. KAREN LEE GORDON-DAVIS PHD, APRN,BC
Clinical Nurse Specialist (Psychiatric/Mental Health)
1501 SULGRAVE AVE, 206
BALTIMORE, MD 21209
Baltimore County (410) 664-6700
MS. JANET LYNN PADGETT PH.D., M.AC.
Acupuncturist
1501 SULGRAVE AVE, SUITE 305
BALTIMORE, MD 21209
Baltimore County (410) 542-2010

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 Susan Henley's NPI number?

The NPI number for Susan Henley is 1902867781. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Susan Henley located?

Susan Henley practices at 1501 Sulgrave Ave Ste 306, Baltimore, MD 21209. The listed phone number is (410) 433-8801.

What is Susan Henley's specialty?

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

Is Susan Henley enrolled in Medicare?

Yes. Susan Henley 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.

Does Susan Henley hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0976506) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susan Henley was last updated on February 15, 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.