Active NPI 1639139876 Individual Practitioner Male Practitioner

Dr. Mark Shea Henderson , MD

Surgery • Sikeston, MO

Professional Overview & Biography Verified Profile Summary

Dr. Mark Henderson, MD is a registered healthcare professional specializing in Surgery in Sikeston, MO. Practice services are available at 135 PLAZA DR under active NPI credentials.

Frequently performed procedures and clinical services include low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml, hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

135 Plaza Dr
Suite 202

Sikeston, MO 638015136

Telephone 5734726003

Fax 5734727159

Associated Practice Facility / Clinic

🏢 Total Renal Care Inc Facility NPI 1255638839

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sikeston, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Sikeston, MO (766 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	23,592	132	$1.48	$0.32
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	11,225	105	$28.75	$16.66
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,312	28	$43.06	$18.59
20610 Aspiration and/or injection of fluid from large joint	481	132	$147.98	$61.54
77002 Fluoroscopic guidance for needle placement	480	131	$225.37	$104.70
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$180.89	$73.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$100.00	$44.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	11	11	$158.00	$5.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	126	116	$158.00	$5.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	104	61	$100.50	$37.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$185.00	$73.90
99221 Initial hospital inpatient care per day, typically 30 minutes	51	51	$228.00	$95.94
99213 Established patient office or other outpatient visit, typically 15 minutes	48	33	$110.00	$48.99
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$913.77	$173.18
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	30	$882.00	$179.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$284.17	$125.10
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$748.60	$92.28
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$313.82	$18.42
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$871.00	$181.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$828.89	$112.74
45380 Biopsy of large bowel using an endoscope	13	13	$1058.23	$199.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2363.38	$318.81
43246 Insertion of stomach tube using a flexible endoscope	12	12	$1168.21	$177.02

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX J4200

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

113358901 (TX)

Medicaid State Provider ID

113358905 (TX)

Medicaid State Provider ID

113358906 (TX)

Medicaid State Provider ID

113358907 (TX)

Commercial Insurance / Payer ID Bcbs

8BF145 (TX)

Commercial Insurance / Payer ID Mcare Rr

990010000 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Fred Thornton , MD

Surgery

NPI 1174622021

Doctor of Medicine (M.D.)

Walter Johnston

Nurse Practitioner - Family

NPI 1215163498

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2012

Registered at 135 PLAZA DR, SUITE 202, SIKESTON, MO 638015136 (Tel: 5734726003)

📍

Updated Business Mailing Address January 24, 2012

Registered at 135 PLAZA DR, SUITE 202, SIKESTON, MO 638015136 (Tel: 5734726003)

👤

Provider Name / Credentials Updated January 24, 2012

Recorded as MARK HENDERSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2012

Surgery (License #J4200 in TX)

🟢

Initial NPI Registration & Enumeration March 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639139876

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 23, 2006

Last Update: January 24, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

135 Plaza Dr, Suite 202

Sikeston, MO 638015136

Phone: 5734726003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.