MR. DEREK ALLEN HENDERSON (PA) – Physician Assistant, NPI 1447530498
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MR. DEREK ALLEN HENDERSON (PA)
PO BOX 437
BUCHANAN, MI 491070437
Phone: (269) 695-0262
Fax: (269) 695-2590
Type: Mailing
1045 E FRONT ST
BUCHANAN, MI 491078474
Phone: (269) 695-5540
Fax: (269) 695-0412
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $1,810.
Total Amount is formed as General ($1,810) + Research ($0) + Ownership ($0) = $1,810.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($298).
Total Amount
$1,810
General + Research + Ownership
Payments
99
Total payment records
General Amount
$1,810
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $298 |
| Novo Nordisk Inc | $279 |
| ITI, Inc. | $107 |
| GlaxoSmithKline, LLC. | $106 |
| AstraZeneca Pharmaceuticals LP | $87 |
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: 2011-09-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110922000774 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 237 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 78 | $0 |
| 83036 | Hemoglobin a1c level | 71 | 35 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $0 |
Insurance plans in this area (ZIP 49107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 83036 | Hemoglobin A1C level | 40 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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