DAN C. JR. HENRY (MD) – Family Medicine Physician, NPI 1871528018
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
27 GENERAL PRACTICE in UT
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Provider Addresses for DAN C. JR. HENRY (MD)
Foothill Drive, Hollywood, Los Angeles, Los Angeles County, California, 90028, United States
SLC, UT 841094000
Phone: (801) 486-3021
Fax: (801) 485-6339
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)
CMS reports 147 Open Payments records for all available years, with a total value of $2,005.
Total Amount is formed as General ($2,005) + Research ($0) + Ownership ($0) = $2,005.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($1,047).
Total Amount
$2,005
General + Research + Ownership
Payments
147
Total payment records
General Amount
$2,005
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,047 |
| Teva Pharmaceuticals USA, Inc. | $501 |
| Lundbeck LLC | $88 |
| SCILEX PHARMACEUTICALS INC. | $60 |
| PFIZER INC. | $59 |
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: 2004-08-18
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040818000176 | I | General Practice | 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 |
|---|---|---|---|---|
| 64400 | Injection of anesthetic agent and/or steroid into face nerve | 61 | 22 | $0 |
| 64405 | Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | 32 | 21 | $0 |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 32 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 84109)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| Physician Assistant | GA | |
| Family Practice | UT | |
| Family Practice, Sports Medicine | CO | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | CA |
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