Raven Henderson, M.D.
NPI 1437415726ActiveIndividual· Plastic Surgery· Tyler, TX
Opted out of Medicare from January 2025 to January 2027. Plastic Surgery (M.D.) in Tyler, Texas, licensed in KS, with an NPI issued in April 2012.
Overview
| NPI | 1437415726 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 11, 2012 |
| Last updated in NPPES | Jul 5, 2024 |
| Certified by provider | Jul 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 04-40363 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 23, 2025 – Jan 23, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Plastic Surgery providers in Tyler
- 1962540302
- 1598830341
- 1760755797
- 1831577253
- 1649268483
- 1649344805
- 1659345338
- 1235104902
- 1194102483