Doctor profile · Federal record
Dr. Shasta Henderson, MD
Orthopaedic Trauma Physician (CMS: Orthopedic Surgery) · Orthopaedic Trauma Physician · Glendale, AZ
- NPI 1316383953
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 13 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5601 W Eugie Ave Ste 100
Glendale, AZ 853041256
(602) 865-4510 - Additional location
-
9291 Medical Plaza Dr
Charleston, SC 294069126
(843) 764-1730 - Mailing address
-
1208 Red Buckeye CT
Moncks Corner, SC 294618600
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Profile last updated
- May 11, 2025
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207XX0801X — NUCC code
- State licenses (2)
- Arizona #74368 · South Carolina #83022
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316383953. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
330
Distinct HCPCS
8
Medicare allowed
$56,106
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 130 | 85 | $84 | |
73502 |
X-ray of hip, 2-3 views | 40 | 26 | $43 | |
73552 |
X-ray of thigh bone, minimum 2 views | 39 | 18 | $33 | |
27245 |
Treatment of broken neck of thigh bone with bone implant | 31 | 30 | $1,138 | |
72190 |
X-ray of pelvis, minimum of 3 views | 26 | 16 | $39 | |
73564 |
X-ray of knee, 4 or more views | 26 | 16 | $43 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $105 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $156 |
In context: peer comparison
Among 2 peers in Glendale Orthopaedic Trauma Physician, average services per provider: 38. This provider delivers 8.7× the peer median.Open Payments
Industry payments received
All-time total
$41,236
Transactions
49
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 36 | $40,173.13 | |
| Si-Bone, INC. | 5 | $812.21 | |
| DePuy Synthes Sales INC. | 3 | $147.27 | |
| PolyNovo North America LLC | 1 | $44.45 | |
| Smith+Nephew, INC. | 2 | $28.44 | |
| Treace Medical Concepts, INC. | 1 | $16.23 | |
| LifeNet Health | 1 | $14.34 |
By nature of payment
Frequently asked questions
What is Dr. Shasta Henderson's medical specialty?
Dr. Shasta Henderson practices Orthopaedic Trauma Physician in Glendale, AZ.
Where does Dr. Shasta Henderson practice?
Dr. Shasta Henderson practices at 5601 W Eugie Ave Ste 100, Glendale, AZ 853041256. Office phone: 6028654510.
What is Dr. Shasta Henderson's NPI?
Dr. Shasta Henderson's National Provider Identifier (NPI) is 1316383953, issued by NPPES.
Does Dr. Shasta Henderson accept Medicare assignment?
Yes. Dr. Shasta Henderson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shasta Henderson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); X-ray of hip, 2-3 views (HCPCS 73502); X-ray of thigh bone, minimum 2 views (HCPCS 73552). Source: CMS Medicare Physician & Other Practitioners file.