DR. TOM M HENSLEE DPM
NPI 1437136504
Podiatrist - Foot & Ankle Surgery in Denison, TX
NPI Status: Active since December 29, 2005
Contact Information
1302 NORTH STATE HWY 91
DENISON, TX
ZIP 75020
Phone: (903) 465-1054
Fax: (903) 327-8023
- Individual
- Male
- Podiatrist
- Foot & Ankle Surgery
- PECOS Enrolled
- Opted-Out Medicare
About TOM HENSLEE
This page provides the complete NPI Profile along with additional information for Tom Henslee, a provider established in Denison, Texas with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1437136504 assigned on December 2005. The practitioner's primary taxonomy code is 213ES0103X with license number 1116 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1437136504
- Provider Name
- DR. TOM M HENSLEE DPM
- Other Name
- DR. TOMMY MAX HENSLEE DPM
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1302 NORTH STATE HWY 91 DENISON, TX 75020
- Location Phone
- (903) 465-1054
- Location Fax
- (903) 327-8023
- Mailing Address
- 1302 NORTH STATE HWY 91 DENISON, TX 75020
- Mailing Phone
- (903) 465-1054
- Mailing Fax
- (903) 327-8023
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-29-2005
- Last Update Date
- 01-21-2014
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Tom Henslee opted out of Medicare effective on 01-30-2014 until 01-30-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 1116
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 018692601 | MEDICAID (05) | TX | |
| TXB113323 | OTHER (01) | TX | TEXAS MEDICARE |
| T65188 | MEDICARE UPIN (02) | TX |
Medicare Participation & PECOS Enrollment Status
Tom Henslee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-30-2014
Opt-Out End Date: 01-30-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 1 | 3 | 6 | 5 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 3 | 12 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 3 + 1 + 2 + 5 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1437136504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437136504, enumerated in the NPI registry as an "individual" on December 29, 2005
The provider is located at 1302 North State Hwy 91 Denison, Tx 75020 and the phone number is (903) 465-1054
The provider's speciality is Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
No, the provider signed an affidavit on January 30, 2014 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 30, 2026.
This NPI record was last updated on December 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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