DR. SEAN JAY HENDERSON (D.O., F.A.C.O.S.) – Urology Physician, NPI 1366753709
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
97 UROLOGY in UT
Provider Addresses for DR. SEAN JAY HENDERSON (D.O., F.A.C.O.S.)
1055 N 300 W STE 316
PROVO, UT 846043373
Phone: (801) 357-7530
Type: Mailing
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
1159 E 200 N STE 300
AMERICAN FORK, UT 840032037
Phone: (801) 965-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,009.
Total Amount is formed as General ($1,009) + Research ($0) + Ownership ($0) = $1,009.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($225).
Total Amount
$1,009
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,009
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 |
|---|---|
| Boston Scientific Corporation | $225 |
| ABBVIE INC. | $105 |
| Astellas Pharma US Inc | $102 |
| COLOPLAST CORP | $91 |
| Laborie Medical Technologies Corp. | $46 |
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: 2016-07-13
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 |
|---|---|---|---|---|
| I20160713002253 | I | Urology | UT | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1,900 | 16 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 106 | 72 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 55 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 43 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 48 | 12 | $0 |
Insurance plans in this area (ZIP 84604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | OH | 51798 | Ultrasound measurement of bladder capacity after voiding | 66 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Nurse Practitioner | UT | |
| Family Practice | UT |
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