Mark A Henry, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

27260 Issued in KY

Practice address

120 Tradepark Dr
Ste a
Somerset, KY 42503-3454

Phone

(606) 679-7778

Fax

(606) 451-1814

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KY

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

Ophthalmology

Education

University of Kentucky College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Kentucky Eye Center, PSCGroup PAC ID 4183701659, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Center at Albany Hospital, Albany, KY, CCN 181333
• Russell County Hospital Hospital, Russell Springs, KY, CCN 181330
• Wayne County Hospital Hospital, Monticello, KY, CCN 181321
• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Merit-based Incentive Payment System (MIPS)

Final score

93.73 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

76.32

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: mhenrymd@southernkentuckyeye.direct.eyemdemr.com

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.

• Southern Kentucky Eye Center PSC

  • Ophthalmology Physician
  • Somerset, KY
  • NPI 1285776476
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bowling Green-Warren County Community Hospital Corporation

  • Critical Access Hospital
  • Albany, KY
  • NPI 1598125502
  Care Compare affiliation
• Lake Cumberland Regional Hospital LLC

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation
• Russell County Hospital

  • Critical Access Hospital
  • Russell Springs, KY
  • NPI 1013954437
  Care Compare affiliation
• Wayne County Hospital, Inc

  • Critical Access Hospital
  • Monticello, KY
  • NPI 1871548016
  Care Compare affiliation

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1972587251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TRADEPARK DR",
            "address_2": "STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033454",
            "telephone_number": "606-679-7778",
            "fax_number": "606-451-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TRADEPARK DR",
            "address_2": "STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033454",
            "telephone_number": "606-679-7778",
            "fax_number": "606-451-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "27260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000071743",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4020794",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1520956",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64272602",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180028760",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3061400",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad C. Henderson, D.C.
• Kimberly Henderson, APRN
• Russell G Hendricks
• Sara Elizabeth Hendricks, LPCC
• Linda F Henegar, LCSW
• Teresa Henry
• Joy Lenea Hensley, T.L.A.B.A.
• Chelsea Herd
• Jeff Herndon
• Tawanda Ronea Hewitt

• Ophthalmology Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.