Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437415726 Individual Practitioner Female Practitioner

Dr. Raven Henderson , MD

Plastic Surgery • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Raven Henderson, MD is a registered healthcare professional specializing in Plastic Surgery in Tyler, TX. Practice services are available at 2140 W GRANDE BLVD STE A under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2140 W Grande Blvd Ste A

Tyler, TX 757030563

Telephone 9032512765
Fax 2702166827

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Tyler, TX (399 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.0% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 13 $440.63 $93.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $514.00 $155.22

Medical Specialties & State Licenses

CMS Verified: 2024-07-05
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License KS 04-40363

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location July 05, 2024

Registered at 2140 W GRANDE BLVD STE A, TYLER, TX 757030563 (Tel: 9032512765)

📍
Updated Business Mailing Address July 05, 2024

Registered at 2140 W GRANDE BLVD STE A, TYLER, TX 757030563 (Tel: 9032512765)

📍
Updated Practice Location April 26, 2023

Registered at 8040 PARALLEL PKWY STE 112A, KANSAS CITY, KS 661122072 (Tel: 9136084586)

📍
Updated Practice Location December 10, 2020

Registered at 11227 LAKEVIEW AVE, LENEXA, KS 66219 (Tel: 9136084760)

📍
Updated Business Mailing Address December 10, 2020

Registered at 4128 DOOLITTLE DR, LAWRENCE, KS 660494117 (Tel: 3477468779)

📍
Updated Practice Location June 09, 2020

Registered at 4128 DOOLITTLE DR, LAWRENCE, KS 660494117 (Tel: 3477468779)

📍
Updated Business Mailing Address June 09, 2020

Registered at 1431 EAST MAIN ST, REKLAW, TX 75784 (Tel: 3477468779)

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2017

Registered at 823 SW MULVANE ST, TOPEKA, KS 666061764 (Tel: 7853549591)

📍
Updated Business Mailing Address October 17, 2017

Registered at 823 SW MULVANE ST, TOPEKA, KS 666061764 (Tel: 7853549591)

👤
Provider Name / Credentials Updated October 17, 2017

Recorded as RAVEN HENDERSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Plastic Surgery (License #04-40363 in KS)

NPI Profile Active April 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2012

Registered at 1 BROOKDALE PLZ, BROOKLYN, NY 112123139 (Tel: 9039201430)

📍
Updated Business Mailing Address April 11, 2012

Registered at PO BOX 120853, BROOKLYN, NY 112120853 (Tel: 9039201430)

👤
Provider Name / Credentials Updated April 11, 2012

Recorded as RAVEN HENDERSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2012

Surgery (License #264746 in NY)

🟢
Initial NPI Registration & Enumeration April 11, 2012

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: 1437415726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2012
Last Update: July 05, 2024
Sole Proprietor: No

Mailing Address

2140 W Grande Blvd Ste A

Tyler, TX 757030563

Phone: 9032512765

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.