COREY H HENDERSON (MD) – Internal Medicine Physician, NPI 1346248903

COREY H HENDERSON (MD) is a healthcare provider. based in Tavares, Florida. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME85553 (FL). The NPI Number for COREY H HENDERSON (MD) is 1346248903

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
COREY H HENDERSON (MD)
NPI
1346248903
Phone
(352) 742-7735
Address
1879 NIGHTINGALE LN
Enumeration Date
8 July 2005
Last Update Date
27 May 2022

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3527287616
Graduation Year
1996 (30 years ago)
PAC ID
5597738377
Group Practice PAC ID
1052384831
Professional Enrollment ID
I20120113000416
Address ID
FL327785266TA1000XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

731 INFECTIOUS DISEASE in FL

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Provider Addresses for COREY H HENDERSON (MD)

  • Nightingale Lane, Tavares, Lake County, Florida, 32278, United States

    STE B4

    TAVARES, FL 327784363

    Phone: (352) 742-7735

    Fax: (352) 742-2289

    Type: Location

  • PO BOX 1409

    EUSTIS, FL 327271409

    Phone: (352) 742-7735

    Fax: (352) 742-2289

    Type: Mailing

  • 1000 WATERMAN WAY

    TAVARES, FL 32778

    Phone: (407) 886-8164

    Fax: (407) 475-0280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $343.

Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: La Jolla Pharmaceutical Company ($127).

Total Amount

$343

General + Research + Ownership

Payments

6

Total payment records

General Amount

$343

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-01-13

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
I20120113000416IInfectious DiseaseFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes508265$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes266159$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes198194$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7066$0
View full utilization report →

Insurance plans in this area (ZIP 32778)

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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: 1052384831View full group profile
NameSpecialtyState
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is COREY H HENDERSON (MD) listed with a National Provider Identifier?
Yes — COREY H HENDERSON (MD) has NPI 1346248903 on file in the registry.
Is there an active status for COREY H HENDERSON (MD)?
For scheduling context, COREY H HENDERSON (MD) is shown as active in the registry.
What area of care is associated with COREY H HENDERSON (MD)?
COREY H HENDERSON (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with COREY H HENDERSON (MD)?
Directory geography for COREY H HENDERSON (MD) centers on Tavares, Florida.
Can I trust this NPI listing for COREY H HENDERSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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