DR. MARK HENDERSON (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1891895272

DR. MARK HENDERSON (MD) is a healthcare provider. based in Lewiston, Maine. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD12208 (ME). The NPI Number for DR. MARK HENDERSON (MD) is 1891895272

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK HENDERSON (MD)
NPI
1891895272
Phone
(207) 777-8560
Address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
Enumeration Date
25 September 2006
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
2079073300
Graduation Year
1980 (46 years ago)
PAC ID
3779510672
Group Practice PAC ID
6406766336
Professional Enrollment ID
I20050722000130
Address ID
ME044011900BA900XXBROA200
Telehealth
Yes

Contacts

Secure Messaging
mhenderson613945@direct-prd.goodhelpconnections.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

32 ENDOCRINOLOGY in ME

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Provider Addresses for DR. MARK HENDERSON (MD)

  • C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT

    PO BOX 7291

    LEWISTON, ME 042437291

    Phone: (207) 777-8560

    Fax: (207) 777-8800

    Type: Mailing

  • St. Joseph Healthcare Park, 900, Broadway, East Bangor, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044011900

    Phone: (207) 907-1187

    Fax: (207) 907-1189

    Type: Location

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: 2005-07-22

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
I20050722000130IEndocrinologyMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7978$0
99213Established patient office or other outpatient visit, 20-29 minutes6059$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
99212Established patient office or other outpatient visit, 10-19 minutes1414$0
99215Established patient office or other outpatient visit, 40-54 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 04243)

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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: 6406766336View full group profile
NameSpecialtyState
Orthopedic SurgeryNY
Internal MedicineME
Family PracticeME
G A S T R O E N T E R O L O G YME
Internal MedicineME
G A S T R O E N T E R O L O G YME
Physician AssistantME
Pulmonary Disease, Critical Care (Intensivists)ME
Orthopedic SurgeryNY
Certified Registered Nurse Anesthetist (Crna)ME

Reviews

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Frequently asked questions

Is DR. MARK HENDERSON (MD) listed with a National Provider Identifier?
Yes — DR. MARK HENDERSON (MD) has NPI 1891895272 on file in the registry.
Active or inactive — what applies to DR. MARK HENDERSON (MD)?
You should see DR. MARK HENDERSON (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. MARK HENDERSON (MD)?
DR. MARK HENDERSON (MD)'s record emphasizes Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MARK HENDERSON (MD)?
Travel planning: use Lewiston, Maine as the reference point for DR. MARK HENDERSON (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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