ANTHONY JAMES HENCSIE MD
NPI 1982967972
Emergency Medicine in Troy, MI

Active since June 24, 2012PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
44201 DEQUINDRE RD STE EC, TROY, MI 48085(248) 964-5000 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony James Hencsie Md NPPES

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

ANTHONY JAMES HENCSIE MD (NPI 1982967972) is an individual emergency medicine provider in Troy, Michigan, licensed in Michigan (4301101085) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and maintains a secondary practice location in Lenox.

NPPES Registry Identity

NPI1982967972
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANTHONY JAMES HENCSIECredential: MD
Location Address44201 DEQUINDRE RD STE ECTroy, MI 48085-1117
Mailing Address2403 Red Maple CtTroy, MI 48098-2225 · (248) 709-7225
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2012
Enumeration DateJune 24, 2012
Last NPPES UpdateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
NPI 1982967972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 4301101085
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
44201 DEQUINDRE RD STE EC, Troy, MI 48085

Secondary Practice Location 1

Location 136555 26 Mile Rd Ste 1100Lenox, MI 48048-3186 · Phone (947) 523-4040 · Fax (947) 523-4011

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 and accepts Medicare assignment

Anthony James Hencsie 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 ID1951532704
PECOS Enrollment IDI20150604001696
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
381 services377 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
197 services188 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
120 services118 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services78 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$15.50 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.70 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.

Nurse Practitioner (Pediatrics)
44201 DEQUINDRE RD STE EC
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD STE EC
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD STE EC
TROY, MI 48085
Nurse Practitioner
44201 DEQUINDRE RD STE EC
TROY, MI 48085
Emergency Medicine
44201 DEQUINDRE RD STE EC
TROY, MI 48085
Nurse Practitioner (Pediatrics)
44201 DEQUINDRE RD STE EC
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD STE EC
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD STE EC
TROY, MI 48085

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 Anthony Hencsie's NPI number?

The NPI number for Anthony Hencsie is 1982967972. It was assigned to this individual provider in the NPPES registry on June 24, 2012.

Where is Anthony Hencsie located?

Anthony Hencsie practices at 44201 Dequindre Rd Ste Ec, Troy, MI 48085. The listed phone number is (248) 964-5000.

What is Anthony Hencsie's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Anthony Hencsie enrolled in Medicare?

Yes. Anthony Hencsie 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 Anthony Hencsie accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Anthony Hencsie 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 Anthony Hencsie affiliated with any hospitals?

According to CMS data, Anthony Hencsie is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Anthony Hencsie was last updated on July 28, 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.