NATHAN RAY HENDERSON (M.D.) – Family Medicine Physician, NPI 1013250182

NATHAN RAY HENDERSON (M.D.) is a healthcare provider. based in Dover, Arkansas. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. E8951 (AR). The NPI Number for NATHAN RAY HENDERSON (M.D.) is 1013250182

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN RAY HENDERSON (M.D.)
NPI
1013250182
Phone
(479) 331-3880
Address
8970 MARKET ST
Enumeration Date
27 March 2013
Last Update Date
10 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4793313880
Graduation Year
2013 (13 years ago)
PAC ID
9133430085
Group Practice PAC ID
4981698032
Professional Enrollment ID
I20150928000657
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for NATHAN RAY HENDERSON (M.D.)

  • 8970 MARKET ST

    DOVER, AR 728379110

    Phone: (479) 331-3880

    Fax: (479) 331-3788

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150928000657IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample3631$0
99214Established patient office or other outpatient visit, 30-39 minutes2927$0
80053Blood test, comprehensive group of blood chemicals2624$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2322$0
99213Established patient office or other outpatient visit, 20-29 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 72837)

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Provider's Procedures

NATHAN RAY HENDERSON (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAR85610Blood test, clotting time8516

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981698032View full group profile
NameSpecialtyState
-AR
Nurse PractitionerAR
General SurgeryOK
Family PracticeAR
Nurse PractitionerAR
-AR
O B S T E T R I C S/ G Y N E C O L O G YAR
Nurse PractitionerTN
Nurse PractitionerAR
Pediatric MedicineAR

Reviews

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Frequently asked questions

How is NATHAN RAY HENDERSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists NATHAN RAY HENDERSON (M.D.) with NPI 1013250182.
Can I rely on NATHAN RAY HENDERSON (M.D.) being an active provider?
As of the registry snapshot, NATHAN RAY HENDERSON (M.D.) is marked active.
What is NATHAN RAY HENDERSON (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for NATHAN RAY HENDERSON (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect NATHAN RAY HENDERSON (M.D.) on a map?
Expect Dover, Arkansas as a primary anchor for NATHAN RAY HENDERSON (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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