MR. DOUGLAS EDWIN HENRICH (M.D.) – Otolaryngology Physician, NPI 1588634414
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
138 OTOLARYNGOLOGY in IA
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Provider Addresses for MR. DOUGLAS EDWIN HENRICH (M.D.)
Burlington Ear Nose and Throat Clinic, 1225, South Gear Avenue, West Burlington, Des Moines County, Iowa, 52655, United States
STE 255
WEST BURLINGTON, IA 526551687
Phone: (319) 752-2725
Fax: (319) 753-1084
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)
CMS reports 27 Open Payments records for all available years, with a total value of $1,417.
Total Amount is formed as General ($1,417) + Research ($0) + Ownership ($0) = $1,417.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,150).
Total Amount
$1,417
General + Research + Ownership
Payments
27
Total payment records
General Amount
$1,417
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $1,150 |
| Hologic Sales and Service, LLC | $112 |
| Acclarent, Inc | $45 |
| Smith+Nephew, Inc. | $44 |
| Zimmer Biomet Holdings, Inc. | $26 |
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: 2010-01-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100130000260 | I | Otolaryngology | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,336 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,021 | 690 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 585 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 418 | 418 | $0 |
| 95115 | Professional service for single injection of allergen | 354 | 23 | $0 |
Insurance plans in this area (ZIP 52655)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | IL | |
| Qualified Audiologist | IL |
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