Karolyn Senica, MD
NPI 1609855485 · Orthopaedic Surgery Physician · Springfield, IL
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karolyn Senica, MD is a Orthopaedic Surgery Physician provider in Springfield, IL (NPI 1609855485).
Provider details
- NPI number
- 1609855485
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036092605 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,841 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 807 | $70 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 593 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 410 | $122 |
| X-Ray of Knee, 4 Or More Views73564 | 183 | $39 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 163 | $30 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 276 | 187 |
| Tramadol Hcl | 130 | 110 |
| Celecoxib | 55 | 32 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 34 | 23 |
| Cyclobenzaprine Hcl | 30 | 26 |
| Ibuprofen | 29 | 23 |
| Naproxen | 23 | 17 |
| Diazepam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$35 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2020-04-13
- Certified
- 2020-04-13
Frequently asked questions
- What is Karolyn Senica's NPI number?
- Karolyn Senica's National Provider Identifier (NPI) is 1609855485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karolyn Senica's specialty?
- Karolyn Senica is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Karolyn Senica located?
- Karolyn Senica's practice location on file with NPPES is 1301 S Koke Mill Rd, Springfield, IL 62711-9252.
- What is Karolyn Senica's phone number?
- The practice phone number listed in the NPPES registry for Karolyn Senica is (217) 547-9100.
- Does Karolyn Senica accept Medicare?
- Karolyn Senica is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karolyn Senica's NPI active?
- Yes — Karolyn Senica's NPI (1609855485) is active in the NPPES registry as of the last update on 2020-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.