Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609855485 Individual Practitioner Female Practitioner

Dr. Karolyn M Senica , MD

Orthopaedic Surgery • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Karolyn Senica, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Springfield, IL. Practice services are available at 1301 S KOKE MILL RD under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 S Koke Mill Rd

Springfield, IL 627119252

Telephone 2175479100
Fax 2175479247
Associated Practice Facility / Clinic
🏢 Orthopaedic Center Of Il Facility NPI 1154300572

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.4 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Springfield, IL (1064 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
7,080 408 $24.00 $0.97
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
1,728 18 $48.00 $17.38
20610 Aspiration and/or injection of fluid from large joint
807 410 $456.89 $70.22
99213 Established patient office or other outpatient visit, typically 15 minutes
593 407 $183.00 $86.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
410 330 $266.00 $121.91
73564 X-ray of knee, 4 or more views
183 181 $226.00 $39.50
73030 X-ray of shoulder, minimum of 2 views
163 123 $175.00 $29.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
114 114 $457.00 $160.26
73560 X-ray of knee, 1-2 views
64 61 $155.00 $29.24
73502 X-ray of hip, 2-3 views
57 54 $182.00 $39.79
73110 X-ray of wrist, minimum of 3 views
53 36 $155.00 $36.28
73130 X-ray of hand, minimum of 3 views
52 38 $153.00 $33.31
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose
52 39 $1560.00 $505.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
47 47 $287.00 $107.51
73221 Mri scan of arm joint without contrast
34 34 $2536.00 $130.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
33 33 $111.00 $53.92
72100 X-ray of lower and sacral spine, 2-3 views
30 30 $183.00 $33.01
72148 MRI scan of lower spinal canal
28 28 $2694.00 $104.00
73630 X-ray of foot, minimum of 3 views
27 14 $162.00 $30.76
73080 X-ray of elbow, minimum of 3 views
26 18 $170.00 $28.70
73721 Mri scan of leg joint without contrast
26 26 $2536.00 $130.12
20605 Aspiration and/or injection of medium joint or joint capsule
19 14 $287.00 $48.83
72170 X-ray of pelvis, 1-2 views
18 15 $150.00 $20.94
73140 X-ray of finger, minimum of 2 views
18 15 $121.00 $35.10
20550 Injection into tendon or ligament
15 14 $275.00 $52.03
73100 X-ray of wrist, 2 views
13 13 $136.00 $31.37
72141 MRI scan of upper spinal canal
11 11 $2497.00 $88.11

Medical Specialties & State Licenses

CMS Verified: 2020-04-13
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036092605

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036092605 (IL)
Commercial Insurance / Payer ID Rr Medicare
200026707 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Breck Jones , MD

Neurological Surgery

NPI 1003298001

Doctor of Medicine (M.D.)

Dr. Molly Farrell , DPT

Physical Therapist

NPI 1013536093

Doctor of Physical Therapy

Dr. Frank Bender , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1013956523

Doctor of Medicine (M.D.)

Dr. Matthew Weber , MD

Neurological Surgery

NPI 1023678638

Doctor of Medicine (M.D.)

Duane Meyer , PT

Physical Therapist

NPI 1033133590

Physical Therapist

Dr. Scott Schleunes , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1033748512

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2009

Registered at 1301 S KOKE MILL RD, SPRINGFIELD, IL 627119252 (Tel: 2175479100)

📍
Updated Business Mailing Address October 06, 2009

Registered at PO BOX 9469, SPRINGFIELD, IL 627919469 (Tel: 2175479100)

👤
Provider Name / Credentials Updated October 06, 2009

Recorded as KAROLYN SENICA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2009

Orthopaedic Surgery (License #036092605 in IL)

🟢
Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609855485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: April 13, 2020
Sole Proprietor: No

Mailing Address

Po Box 9469

Springfield, IL 627919469

Phone: 2175479100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.