JONATHAN HENRY (MD) – General Practice Physician, NPI 1164470068
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 PSYCHIATRY in MI
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Provider Addresses for JONATHAN HENRY (MD)
4572, South Hagadorn Road, East Lansing, Ingham County, Michigan, 48864, United States
2A EAST
EAST LANSING, MI 488235355
Phone: (517) 349-8388
Fax: (517) 349-1560
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: 2004-01-02
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 |
|---|---|---|---|---|
| I20040102000575 | I | Psychiatry | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 18 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 75 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 22 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 38 | 17 | $0 |
Insurance plans in this area (ZIP 48823)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MI | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 78 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | OH | |
| - | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| - | FL | |
| - | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI |
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