CRAIG HENDERSON DO
NPI 1902870967
Obstetrics & Gynecology in Ocean, NJ

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
804 W PARK AVE, OCEAN, NJ 07712(732) 695-2040(732) 493-1640 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2021, Mar 9, 2021 (2 updates tracked since 2021).

About Craig Henderson Do NPPES

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

CRAIG HENDERSON DO (NPI 1902870967) is an individual obstetrics & gynecology provider in Ocean, New Jersey, licensed in New Jersey (MB61055) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains a secondary practice location in Howell.

NPPES Registry Identity

NPI1902870967
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCRAIG HENDERSONCredential: DO
Location Address804 W PARK AVEOcean, NJ 07712-7272
Mailing AddressPo Box 22581New York, NY 10087-2581 · (610) 482-4795 · Fax (856) 528-3117
Fax(732) 493-1640
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1993
Enumeration DateFebruary 15, 2006
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
NPI 1902870967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NJ · MB61055
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
804 W PARK AVE, Ocean, NJ 07712

Secondary Practice Location 1

Location 13469 Route 9 NHowell, NJ 07731-3305 · Phone (732) 695-2040 · Fax (732) 493-1640

Other Identifiers 1

Medicaid6935605NJ

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

Craig Henderson Do 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 ID6204884638
PECOS Enrollment IDI20120224000443
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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
128 services128 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
128 services128 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.
86 services61 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.
63 services57 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services12 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07712 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
81%655 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
97%1,138 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
47%1,469 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,083 patients
Patients tobacco: 2% · 46 patients
92%1,083 patients4/55-star benchmark: 98%
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.

Nurse Practitioner (Pediatrics)
804 W PARK AVE
OCEAN, NJ 07712
Nurse Practitioner (Pediatrics)
804 W PARK AVE
OCEAN, NJ 07712
Dentist (Orthodontics and Dentofacial Orthopedics)
804 W PARK AVE, OCEAN ORTHODONTICS BUILDING A
OCEAN, NJ 07712
Pediatrics
804 W PARK AVE
OCEAN, NJ 07712
Obstetrics & Gynecology
804 W PARK AVE
OCEAN, NJ 07712
Internal Medicine
804 W PARK AVE
OCEAN, NJ 07712
Nurse Practitioner (Pediatrics)
804 W PARK AVE
OCEAN, NJ 07712
Nurse Practitioner (Obstetrics & Gynecology)
804 W PARK AVE
OCEAN, NJ 07712

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 Craig Henderson's NPI number?

The NPI number for Craig Henderson is 1902870967. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Craig Henderson located?

Craig Henderson practices at 804 W Park Ave, Ocean, NJ 07712. The listed phone number is (732) 695-2040.

What is Craig Henderson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Craig Henderson enrolled in Medicare?

Yes. Craig 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.

Is Craig Henderson affiliated with any hospitals?

According to CMS data, Craig Henderson is affiliated with Riverview Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Henderson was last updated on August 19, 2021. 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.