JAMES ERNEST SENSECQUA M.D.
NPI 1184655391
Internal Medicine - Cardiovascular Disease in Hendersonville, NC

Q: What is James Sensecqua's NPI number?

The NPI number for James Sensecqua is 1184655391. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is James Sensecqua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for James Sensecqua was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

800 N JUSTICE ST, HENDERSONVILLE, NC 28791(828) 696-1000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, May 3, 2024 (2 updates tracked since 2024).

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About James Ernest Sensecqua M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES ERNEST SENSECQUA M.D. (NPI 1184655391) is an individual cardiovascular disease provider in Hendersonville, North Carolina, licensed in North Carolina (2024-01241) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1184655391

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJAMES ERNEST SENSECQUACredential: M.D.

Location Address800 N JUSTICE STHendersonville, NC 28791-3410

Mailing Address1550 Barkley CirFort Myers, FL 33907-4539 · (239) 938-2000 · Fax (239) 278-0404

Phone(828) 696-1000

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1980

Enumeration DateJuly 5, 2006

Last NPPES UpdateJune 25, 20242 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1184655391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in NC · 2024-01241✔ Licensed in FL · ME0050875✔ Licensed in ND · 19289

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License ME0050875 (FL)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 19289 (ND)

800 N JUSTICE ST, Hendersonville, NC 28791

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Secondary Practice Location 1

Location 11550 Barkley CirFort Myers, FL 33907-4539 · Phone (239) 938-2000 · Fax (239) 278-0404

Other Identifiers 1

Medicaid046167900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Providence Health Plan 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

James Ernest Sensecqua M.d. 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.

PECOS PAC ID6103804653

PECOS Enrollment IDI20230424002494, I20230901001264

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 claims 14

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

103 services54 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

95 services85 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

75 services75 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.

59 services52 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

57 services51 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

39 services39 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

30 services30 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

26 services26 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

22 services22 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

19 services19 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

16 services15 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

13 services13 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number350002

Location900 E BroadwayBismarck, ND 58501 · Burleigh County

Emergency services Birthing friendly

Sakakawea Medical Center - Cah

Critical Access Hospitals · Hazen, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351310

Location510 8th Avenue NEHazen, ND 58545 · Mercer County

Emergency services

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351334

Location1301 15th Ave WWilliston, ND 58801 · Williams County

Emergency services Birthing friendly

Chi St Alexius Health Dickinson

Critical Access Hospitals · Dickinson, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351336

Location2500 Fairway StreetDickinson, ND 58601 · Stark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARTLETT DAVID STEEN MD

Family Medicine

800 N JUSTICE ST
HENDERSONVILLE, NC 28791

Henderson County (828) 694-4548

ANNA QUINN HARRELSON MD

Family Medicine

800 N JUSTICE ST
HENDERSONVILLE, NC 28791

Henderson County (828) 696-1000

MARTIN S. LEMYRE MD

Internal Medicine

800 N JUSTICE ST
HENDERSONVILLE, NC 28791

Henderson County (828) 696-1000

JOHN M THERIOT CRNA

Nurse Anesthetist, Certified Registered

800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791

Henderson County (828) 696-1000

EDWARD ALAN LEWIS MD

Anesthesiology

800 N JUSTICE ST
HENDERSONVILLE, NC 28791

Henderson County (828) 694-4548

JEFFREY WAYNE YOUNGER CRNA

Nurse Anesthetist, Certified Registered

800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791

Henderson County (828) 696-1000

PATHS OUTPATIENT SERVICES

Psychiatry & Neurology (Psychiatry)

800 N JUSTICE ST, BOX 38
HENDERSONVILLE, NC 28791

Henderson County (828) 696-4545

PIEDMONT HENDERSONVILLE ANESTHESIA CONSULTANTS PLLC

Anesthesiology

800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791

Henderson County (828) 696-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Sensecqua's NPI number?

The NPI number for James Sensecqua is 1184655391. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is James Sensecqua located?

James Sensecqua practices at 800 N Justice St, Hendersonville, NC 28791. The listed phone number is (828) 696-1000.

What is James Sensecqua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Sensecqua enrolled in Medicare?

Yes. James Sensecqua 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 James Sensecqua accept?

Health plans from Avera Health Plans, Medica, Providence Health Plan and Sanford Health Plan list James Sensecqua 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.

Is James Sensecqua affiliated with any hospitals?

According to CMS data, James Sensecqua is affiliated with Billings Clinic, Chi St Alexius Health, Sakakawea Medical Center - Cah, Chi St Alexius Health Williston and Chi St Alexius Health Dickinson.

When was this NPI record last updated?

The NPPES record for James Sensecqua was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.