DR. MICHAEL SENTMAN HENDERSON (OD) – Optometrist, NPI 1174589592

DR. MICHAEL SENTMAN HENDERSON (OD) is a healthcare provider. based in Provincetown, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 879 (SC). The NPI Number for DR. MICHAEL SENTMAN HENDERSON (OD) is 1174589592

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL SENTMAN HENDERSON (OD)
NPI
1174589592
Phone
(508) 432-1400
Address
49 HARRY KEMP WAY
Enumeration Date
25 April 2006
Last Update Date
23 August 2014

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5084879395
Graduation Year
1986 (40 years ago)
PAC ID
7012942147
Group Practice PAC ID
4385554971
Professional Enrollment ID
I20140825000542
Address ID
MA026571618PR49XXXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,117 OPTOMETRY in MA

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Provider Addresses for DR. MICHAEL SENTMAN HENDERSON (OD)

  • Outer Cape Pharmacy, 49, Harry Kemp Way, Provincetown, Barnstable County, Massachusetts, 02657, United States

    PROVINCETOWN, MA 026571618

    Phone: (508) 432-1400

    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: 2014-08-25

PECOS data refreshed: 2026-06-15

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
I20140825000542IOptometryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02657)

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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: 4385554971View full group profile
NameSpecialtyState
Internal MedicineMA
Nurse PractitionerMA
Internal Medicine, Pediatric MedicineMA
Physician AssistantOR
Physician AssistantMA
Nurse PractitionerMA
-MA
-MA
Nurse PractitionerRI
Chiropractic, Nurse PractitionerMA

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL SENTMAN HENDERSON (OD)?
For DR. MICHAEL SENTMAN HENDERSON (OD), use NPI 1174589592 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MICHAEL SENTMAN HENDERSON (OD)?
You should see DR. MICHAEL SENTMAN HENDERSON (OD) as active in CMS-hosted NPPES data.
How would a patient describe DR. MICHAEL SENTMAN HENDERSON (OD)'s focus?
For DR. MICHAEL SENTMAN HENDERSON (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL SENTMAN HENDERSON (OD) located near Provincetown?
DR. MICHAEL SENTMAN HENDERSON (OD) currently maps to Provincetown, Massachusetts in this extract.
Can I trust this NPI listing for DR. MICHAEL SENTMAN HENDERSON (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.