MATTHEW HENDERSON – Anesthesiology Physician, NPI 1639438484

MATTHEW HENDERSON is a healthcare provider. based in Seattle, Washington. specializing in ANESTHESIOLOGY. They hold a License No. A131062 (CA). The NPI Number for MATTHEW HENDERSON is 1639438484

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW HENDERSON
NPI
1639438484
Phone
(855) 600-5163
Address
PO BOX 94645
Enumeration Date
15 May 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5094743131
Graduation Year
2012 (14 years ago)
PAC ID
1052681889
Group Practice PAC ID
0840279758
Professional Enrollment ID
I20170726003185
Address ID
WA992042307SP101XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,514 ANESTHESIOLOGY in WA

Provider Addresses for MATTHEW HENDERSON

  • PO BOX 94645

    SEATTLE, WA 981246945

    Phone: (855) 600-5163

    Type: Mailing

  • 101 W 8TH AVE

    SPOKANE, WA 992042307

    Phone: (509) 474-3131

    Type: Location

  • 11234 Anderson St

    GME Office CSP 21005

    Loma Linda, CA 923542804

    Phone: (909) 558-4015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-07-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170726003185IAnesthesiologyWATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4141$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2525$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)2220$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2121$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 98124)

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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: 0840279758View full group profile
NameSpecialtyState
-MT
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

Can I cross-check MATTHEW HENDERSON using NPI 1639438484?
NPI 1639438484 belongs to MATTHEW HENDERSON; compare other details if you need extra assurance.
Would MATTHEW HENDERSON appear as active to a payer?
You can treat MATTHEW HENDERSON as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MATTHEW HENDERSON's focus?
For MATTHEW HENDERSON, the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MATTHEW HENDERSON?
Travel planning: use Seattle, Washington as the reference point for MATTHEW HENDERSON, then confirm.
When was this NPI issued?
Enumeration for MATTHEW HENDERSON is noted as May 15, 2012 where the registry provides it.

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