CRAIG MITCHELL SENZON M.D.
NPI 1215924394
Psychiatry & Neurology - Neurology in Royal Palm Beach, FL

Q: What is Craig Senzon's NPI number?

The NPI number for Craig Senzon is 1215924394. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is Craig Senzon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Craig Senzon was last updated on March 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment

76.22/100

CMS Quality Rating

9100 BELVEDERE RD, SUITE 109, ROYAL PALM BEACH, FL 33411(561) 249-7575(561) 249-7576 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2021, Dec 18, 2019, Jan 30, 2017 and 1 more (4 updates tracked since 2016).

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About Craig Mitchell Senzon M.d. NPPES

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

CRAIG MITCHELL SENZON M.D. (NPI 1215924394) is an individual neurology provider in Royal Palm Beach, Florida, licensed in Florida (ME104508) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Palms West Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1997).

NPPES Registry Identity

NPI1215924394

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameCRAIG MITCHELL SENZONCredential: M.D.

Location Address9100 BELVEDERE RD, SUITE 109Royal Palm Beach, FL 33411-3607

Mailing Address9960 Nw 116th Way, Suite 13Medley, FL 33178-1167 · (786) 924-1311 · Fax (786) 924-1313

Phone(561) 249-7575

Fax(561) 249-7576

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1997

Enumeration DateOctober 4, 2005

Last NPPES UpdateMarch 24, 20214 updates tracked since enumeration

NPPES CertifiedMarch 24, 2021

✔ NPI 1215924394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in FL · ME104508✔ Licensed in VT · 0420010990✔ Licensed in MA · 226253✔ Licensed in FL · ME90505✔ Licensed in NY · 2111711

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

9100 BELVEDERE RD, Royal Palm Beach, FL 33411

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Other Identifiers 2

Medicaid2109166MA

Medicaid1011660VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) 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

Craig Mitchell Senzon 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 ID5092607572

PECOS Enrollment IDI20040830000675, I20070607000288

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.

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.

466 services241 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

353 services217 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.

161 services161 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

81 services80 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

74 services60 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

42 services38 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

34 services33 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

33 services33 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 patients

Needle measurement of electrical activity in arm or leg muscles, limited study 95885

This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.

22 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Measurement of brain wave activity with video (veeg), 2-12 hours with continuous monitoring 95713

This procedure, called Video EEG, monitors brain wave activity for 2-12 hours. It uses video to track physical behaviors while EEG records brain activity. It helps in diagnosing conditions like seizures, sleep disorders, or unexplained behavior changes.

18 services18 patients

Measurement of brain wave activity (eeg), continuous 95700

Measurement of brain wave activity, or EEG, is a non-invasive procedure that records electrical patterns in your brain. This continuous monitoring helps to identify irregularities in brain function, aiding in diagnosis of conditions like epilepsy.

17 services17 patients

Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718

This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100269

Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County

Emergency services Birthing friendly

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100275

Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33411 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.74

Promoting Interoperability

Improvement Activities

Cost

54.18

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Other Providers at the Same Location NPPES 2

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

DR. BRUCE LEE ELKIND D.D.S.

Dentist

9100 BELVEDERE RD, 208
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 798-4077

BRUCE L. ELKIND, DDS, PA

Dentist (General Practice)

9100 BELVEDERE RD, SUITE 208
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 798-4077

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 Craig Senzon's NPI number?

The NPI number for Craig Senzon is 1215924394. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Craig Senzon located?

Craig Senzon practices at 9100 Belvedere Rd Suite 109, Royal Palm Beach, FL 33411. The listed phone number is (561) 249-7575.

What is Craig Senzon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Craig Senzon enrolled in Medicare?

Yes. Craig Senzon 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 Craig Senzon accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Craig Senzon 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 Craig Senzon affiliated with any hospitals?

According to CMS data, Craig Senzon is affiliated with Hca Florida Palms West Hospital and Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Senzon was last updated on March 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.