Doctor profile · Federal record
Dr. Ethan Henderson, FNP-C
Family Nurse Practitioner (CMS: Nurse Practitioner) · Springfield, MO
- NPI 1447817788
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3231 S National Ave Ste 170
Springfield, MO 658077304
(417) 885-0868
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- June 19, 2019
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Missouri #2019007535
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1447817788. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
744
Distinct HCPCS
10
Medicare allowed
$34,051
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 256 | 92 | $53 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 189 | 84 | $48 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 136 | 74 | $29 | |
97597 |
Removal of tissue from wound, 20.0 sq cm or less | 34 | 25 | $29 | |
17250 |
Application of chemical to stop tissue regrowth in wound | 30 | 15 | $29 | |
29581 |
Application of vein wound compression bandages on lower leg, ankle, and foot | 26 | 15 | $22 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 19 | $106 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 19 | 15 | $79 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | 15 | $65 | |
0642T |
Noncontact near-infrared spectroscopy study of flap or wound, interpretation and report only | 15 | 15 | $10 |
In context: peer comparison
Among 100 peers in Springfield Family Nurse Practitioner, average services per provider: 101. This provider delivers 7.4× the peer median.Open Payments
Industry payments received
All-time total
$374
Transactions
21
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 14 | $149.28 | |
| Davol INC. | 1 | $119.34 | |
| Solventum Corporation | 3 | $44.75 | |
| Next Science LLC | 1 | $25.34 | |
| Hartmann USA, INC. | 1 | $19.25 | |
| Integra LifeSciences Corporation | 1 | $16.11 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
294
Patients
199
Total drug cost
$4,183
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Doxycycline Hyclate | Generic | 57 | 45 | $1,297 |
| Mupirocin | Generic | 43 | 20 | $473 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 38 | 19 | $264 |
| Ciprofloxacin Hcl | Generic | 30 | 23 | $297 |
| Cefdinir | Generic | 26 | 21 | $524 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 25 | 23 | $290 |
| Cefadroxil | Generic | 20 | 19 | $224 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 20 | 17 | $145 |
| Ketoconazole | Generic | 12 | 0 | $476 |
| Levofloxacin | Generic | 12 | 12 | $135 |
Frequently asked questions
What is Dr. Ethan Henderson's medical specialty?
Dr. Ethan Henderson practices Family Nurse Practitioner in Springfield, MO.
Where does Dr. Ethan Henderson practice?
Dr. Ethan Henderson practices at 3231 S National Ave Ste 170, Springfield, MO 658077304. Office phone: 4178850868.
What is Dr. Ethan Henderson's NPI?
Dr. Ethan Henderson's National Provider Identifier (NPI) is 1447817788, issued by NPPES.
Does Dr. Ethan Henderson accept Medicare assignment?
Yes. Dr. Ethan Henderson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ethan Henderson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.