DR. JOSEPH WELLES IV HENDERSON (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1528200904
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
357 OBSTETRICS/GYNECOLOGY in UT
Provider Addresses for DR. JOSEPH WELLES IV HENDERSON (M.D.)
1525 W 2100 S
Salt Lake City, UT 841191401
Phone: (801) 213-3900
Type: Location
88 Center Rd Ste 360
Bedford, OH 441462711
Phone: (440) 232-8955
Fax: (440) 232-9491
Type: Location
University Hospitals Richmond Medical Center, 27100, Chardon Road, Cleveland, Cuyahoga County, Ohio, 44143, United States
SUITE 100
RICHMOND HEIGHTS, OH 44143
Phone: (440) 516-8700
Fax: (216) 201-5276
Type: Location
Chardon Road, Chardon Estates, Richmond Heights, Cuyahoga County, Ohio, 44132, United States
RICHMOND HEIGHTS, OH 441431192
Phone: (440) 516-8700
Fax: (216) 201-5276
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $2,970.
Total Amount is formed as General ($2,970) + Research ($0) + Ownership ($0) = $2,970.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: BLUEWIND MEDICAL ($1,324).
Total Amount
$2,970
General + Research + Ownership
Payments
42
Total payment records
General Amount
$2,970
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BLUEWIND MEDICAL | $1,324 |
| Medtronic, Inc. | $368 |
| Caldera Medical, Inc | $198 |
| Sumitomo Pharma America, Inc. | $191 |
| Astellas Pharma US Inc | $157 |
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: 2014-09-11
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 |
|---|---|---|---|---|
| I20140911000404 | I | Obstetrics/Gynecology | OH | 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 | 1,204 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 395 | 236 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 179 | 135 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 156 | 137 | $0 |
| 81003 | Automated urinalysis test | 141 | 126 | $0 |
Insurance plans in this area (ZIP 84119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| - | IL | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NC | |
| Nurse Practitioner | OH |
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