Official registry information on file with the National Plan and Provider Enumeration System.
MARY GRACE SENSENG D.O. (NPI 1053842617) is an individual physical medicine & rehabilitation provider in Country Club Hills, Illinois, licensed in Illinois (036156077) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Chicago College Of Osteopathy (2017).
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare and accepts Medicare assignment
Mary Grace Senseng D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.
Areas of Expertise CMS Part B claims5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
445 services82 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
197 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
195 services195 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
150 services124 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
88 services83 patients
Referred Medical Equipment & Supplies CMS DME claims53
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$45.66 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$41.72 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier24 claims24 services$37.64 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier32 claims32 services$8.82 avg. paid by Medicare
Below knee, molded socket, shin, sach foot, endoskeletal system L5301
DME-Orthotic Devices · category DF003N
24 suppliers91 claims94 services$2,206.48 avg. paid by Medicare
Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee L5321
DME-Orthotic Devices · category DF000N
15 suppliers25 claims25 services$2,968.05 avg. paid by Medicare
Addition to lower extremity, test socket, below knee L5620
DME-Orthotic Devices · category DF003N
30 suppliers131 claims171 services$244.28 avg. paid by Medicare
Addition to lower extremity, test socket, above knee L5624
DME-Orthotic Devices · category DF000N
19 suppliers49 claims84 services$330.45 avg. paid by Medicare
Addition to lower extremity, below knee, acrylic socket L5629
DME-Orthotic Devices · category DF003N
31 suppliers129 claims132 services$258.40 avg. paid by Medicare
Addition to lower extremity, above knee or knee disarticulation, acrylic socket L5631
DME-Orthotic Devices · category DF000N
20 suppliers52 claims53 services$363.56 avg. paid by Medicare
Addition to lower extremity, below knee, total contact L5637
DME-Orthotic Devices · category DF003N
30 suppliers136 claims141 services$312.24 avg. paid by Medicare
21 suppliers56 claims56 services$1,157.99 avg. paid by Medicare
Addition to lower extremity, suction suspension, above knee or knee disarticulation socket L5652
DME-Orthotic Devices · category DF000N
11 suppliers28 claims28 services$360.67 avg. paid by Medicare
Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert L5671
DME-Orthotic Devices · category DF003N
21 suppliers67 claims69 services$413.74 avg. paid by Medicare
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism L5673
DME-Orthotic Devices · category DF003N
24 suppliers70 claims137 services$644.59 avg. paid by Medicare
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism L5679
DME-Orthotic Devices · category DF003N
25 suppliers120 claims236 services$540.76 avg. paid by Medicare
Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each L5685
DME-Orthotic Devices · category DF003N
21 suppliers87 claims169 services$105.65 avg. paid by Medicare
Replacement, socket, below knee, molded to patient model L5700
DME-Orthotic Devices · category DF003N
18 suppliers41 claims44 services$2,471.08 avg. paid by Medicare
Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model L5701
DME-Orthotic Devices · category DF000N
12 suppliers26 claims26 services$3,171.63 avg. paid by Medicare
Custom shaped protective cover, below knee L5704
DME-Orthotic Devices · category DF003N
17 suppliers53 claims54 services$519.88 avg. paid by Medicare
Custom shaped protective cover, above knee L5705
DME-Orthotic Devices · category DF000N
7 suppliers15 claims15 services$952.86 avg. paid by Medicare
Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system L5781
DME-Orthotic Devices · category DF000N
12 suppliers37 claims38 services$3,325.78 avg. paid by Medicare
Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control L5828
DME-Orthotic Devices · category DF003N
10 suppliers17 claims17 services$2,448.51 avg. paid by Medicare
15 suppliers25 claims25 services$1,494.24 avg. paid by Medicare
Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability L5848
DME-Orthotic Devices · category DF003N
12 suppliers20 claims20 services$890.83 avg. paid by Medicare
Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist L5850
DME-Orthotic Devices · category DF000N
11 suppliers15 claims15 services$105.97 avg. paid by Medicare
Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type L5856
DME-Orthotic Devices · category DF003N
10 suppliers16 claims16 services$18,880.16 avg. paid by Medicare
Addition, endoskeletal system, below knee, alignable system L5910
DME-Orthotic Devices · category DF003N
28 suppliers117 claims122 services$293.87 avg. paid by Medicare
Addition, endoskeletal system, above knee or hip disarticulation, alignable system L5920
DME-Orthotic Devices · category DF000N
20 suppliers48 claims49 services$435.46 avg. paid by Medicare
Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock L5925
DME-Orthotic Devices · category DF000N
9 suppliers11 claims12 services$285.49 avg. paid by Medicare
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) L5940
DME-Orthotic Devices · category DF003N
28 suppliers117 claims123 services$411.15 avg. paid by Medicare
Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) L5950
DME-Orthotic Devices · category DF000N
19 suppliers50 claims50 services$646.55 avg. paid by Medicare
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Grace Senseng's NPI number?
The NPI number for Mary Grace Senseng is 1053842617. It was assigned to this individual provider in the NPPES registry on March 24, 2017.
Where is Mary Grace Senseng located?
Mary Grace Senseng practices at 18200 Cicero Ave, Country Club Hills, IL 60478. The listed phone number is (872) 231-3162.
What is Mary Grace Senseng's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Mary Grace Senseng enrolled in Medicare?
Yes. Mary Grace Senseng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mary Grace Senseng accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of North Dakota and CareSource list Mary Grace Senseng as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Grace Senseng was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Grace Senseng, D.O. · NPI 1053842617
Physical Medicine & Rehabilitation physician in Country Club Hills, Illinois. Individual provider, active in the CMS NPPES registry since March 24, 2017.
## Identity
- **NPI:** 1053842617 (Entity type: Individual)
- **Enumerated:** March 24, 2017
- **Primary specialty:** Physical Medicine & Rehabilitation · taxonomy 208100000X
- **State license:** 036156077 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18200 CICERO AVE, Country Club Hills, IL 60478-2911
- **Phone:** (872) 231-3162 · **Fax:** (702) 977-1496
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Chicago College Of Osteopathy, class of 2017
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053842617) · Data from the CMS NPPES public registry.