Deborah B. Henderson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

N4467 Issued in TX

Practice address

1650 Cochrane Cir
Ft Carson, CO 80913-4613

Phone

(719) 526-7185

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical School at San Antonio, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Cancer and Dermatology Center of Colorado Springs, P.C.Group PAC ID 2769474840, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.28 of 100Reported as group

Quality

97.05

Promoting interoperability

100

Improvement activities

40

Cost

63.87

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dhenderson@skincancerandderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skin Cancer and Dermatology Center of Colorado Springs, P.C.

  • Dermatology Physician
  • Colorado SPGS, CO
  • NPI 1588631055
  Medicare reassignment Care Compare group NPD
• Optumcare Colorado Medical Group LLC

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1407252828
  Medicare reassignment NPD
• Deborah B Henderson, MD, PLLC

  • Clinical & Laboratory Dermatological Immunology Physician
  • San Antonio, TX
  • NPI 1225329584
  NPD (past) Authorized official
• Optumcare Colorado Medical Group LLC

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1922893478
  NPD
• Skin Cancer and Dermatology Center of Colorado Springs, P.C.

  • Dermatology Physician
  • Pueblo, CO
  • NPI 1770275323
  NPD
• Skin Cancer and Dermatology Center of Colorado Springs, P.C.

  • Dermatology Physician
  • Trinidad, CO
  • NPI 1275120347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1770765265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DEBORAH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N4467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Heffner, CRNA
• Jillian Heide, CRNA
• Diana J Heinz, NURSE PRACTITIONER
• Shawn Heisler
• Aaron Michael Heltunen, O.D.
• Katina Leneil Henderson, R.N.
• Micah Henderson, DNP, FNP-BC
• Jake Taylor Hendrickson
• Christopher Andrew Henry, DMD
• Paige Lillian Herbst, PA

• Dermatology Physician in Ft Carson, CO
• Providers in Ft Carson, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.