CHARLES GERRY HENDERSON (M.D.) – Pediatric Urology Physician, NPI 1912067273
Pediatric Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHARLES GERRY HENDERSON (M.D.)
1600 SW Archer Rd
Gainesville, FL 326100247
Phone: (352) 273-6870
Type: Location
9300 Valley Childrens Pl # Sc05
Madera, CA 936368761
Phone: (559) 353-5700
Fax: (559) 353-5708
Type: Location
9300 DEWITT LOOP, ATTN: UROLOGY
FORT BELVOIR COMMUNITY HOSPITAL
FORT BELVOIR, VA 22060
Phone: (571) 231-2633
Fax: (571) 231-2611
Type: Location
2724, South Fort Scott Drive, Aurora Hills, Arlington, Arlington County, Virginia, 22202, United States
ARLINGTON, VA 222022305
Phone: (240) 505-5402
Fax: (571) 231-2611
Type: Mailing
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: 2022-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170804000033 | I | Urology | FL | TBD |
| I20221020000984 | I | Urology | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32610)
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