DR. MICHAEL DWAYNE HENDERSON (M.D.) – Cardiovascular Disease Physician, NPI 1518166354

DR. MICHAEL DWAYNE HENDERSON (M.D.) is a healthcare provider. based in La grange, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. Q9636 (TX). The NPI Number for DR. MICHAEL DWAYNE HENDERSON (M.D.) is 1518166354

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DWAYNE HENDERSON (M.D.)
NPI
1518166354
Phone
(979) 242-5677
Address
2 SAINT MARKS PL STE 160
Enumeration Date
12 July 2007
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
9797322318
Graduation Year
2005 (21 years ago)
PAC ID
4880863125
Group Practice PAC ID
1557250446
Professional Enrollment ID
I20251230003683
Address ID
TX789343011CO2122XSXXX400

Contacts

Secure Messaging
mhenderson10255@epiccwdv.hcadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

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Provider Addresses for DR. MICHAEL DWAYNE HENDERSON (M.D.)

  • 2 SAINT MARKS PL STE 160

    LA GRANGE, TX 789451253

    Phone: (979) 242-5677

    Fax: (979) 242-5680

    Type: Mailing

  • Scenic Drive, Georgetown, Williamson County, Texas, 78626, United States

    SUITE 3308

    GEORGETOWN, TX 786267724

    Phone: (512) 869-2566

    Fax: (512) 869-7434

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $419.

Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($106).

Total Amount

$419

General + Research + Ownership

Payments

23

Total payment records

General Amount

$419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20160826000793ICardiovascular Disease (Cardiology)TXTBD
I20251218000124ICardiovascular Disease (Cardiology)VITBD
I20251230003683ICardiovascular Disease (Cardiology)PATBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,046801$0
99214Established patient office or other outpatient visit, 30-39 minutes836603$0
99215Established patient office or other outpatient visit, 40-54 minutes574404$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function314311$0
99203New patient office or other outpatient visit, 30-44 minutes160160$0
View full utilization report →

Insurance plans in this area (ZIP 78945)

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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: 1557250446View full group profile
NameSpecialtyState
-TX
Orthopedic SurgeryTX
Family PracticeTX
Gynecological OncologyMO
Physician AssistantTX
Family Practice, Emergency MedicineTX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
Pulmonary Disease, Critical Care (Intensivists)TX
Family Practice, HospitalistTX

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL DWAYNE HENDERSON (M.D.)?
The federal identifier for DR. MICHAEL DWAYNE HENDERSON (M.D.) is NPI 1518166354.
Is DR. MICHAEL DWAYNE HENDERSON (M.D.) currently active in the NPI registry?
CMS-published data lists DR. MICHAEL DWAYNE HENDERSON (M.D.) as an active registrant.
What does DR. MICHAEL DWAYNE HENDERSON (M.D.) treat or focus on?
Patients typically see DR. MICHAEL DWAYNE HENDERSON (M.D.) under the specialty Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL DWAYNE HENDERSON (M.D.)?
We surface La Grange, Texas for DR. MICHAEL DWAYNE HENDERSON (M.D.) based on available NPPES addresses.
How can I contact DR. MICHAEL DWAYNE HENDERSON (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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