DR. HARSHA A. SEN M.D.
NPI 1255692414
Ophthalmology in Dothan, AL

Active since June 05, 2012PECOS EnrolledAccepts Medicare Assignment
93.6/100
CMS Quality Rating
2800 ROSS CLARK CIR, DOTHAN, AL 36301(334) 793-2211(334) 793-7161 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2026, Mar 17, 2018, Feb 15, 2018 (3 updates tracked since 2018).

About Dr. Harsha A. Sen M.d. NPPES

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

DR. HARSHA A. SEN M.D. (NPI 1255692414) is an individual ophthalmology provider in Dothan, Alabama, licensed in Alabama (36437) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1986).

NPPES Registry Identity

NPI1255692414
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. HARSHA A. SENCredential: M.D.
Location Address2800 ROSS CLARK CIRDothan, AL 36301-2040
Mailing Address2800 Ross Clark CirDothan, AL 36301-2040 · (334) 793-2211
Fax(334) 793-7161
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1986
Enumeration DateJune 5, 2012
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1255692414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AL · 36437
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2800 ROSS CLARK CIR, Dothan, AL 36301

Accepted 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

Dr. Harsha A. Sen 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 ID3173551785
PECOS Enrollment IDI20171213003377, I20190906001786
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 23

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
11,340 services44 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,038 services440 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
707 services170 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
644 services496 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
522 services423 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
400 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

93.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.82
Promoting Interoperability79
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Audiologist
2800 ROSS CLARK CIR
DOTHAN, AL 36301
Ophthalmology
2800 ROSS CLARK CIR
DOTHAN, AL 36301
Clinic/Center (Ambulatory Surgical)
2800 ROSS CLARK CIR, SUITE 3
DOTHAN, AL 36301
Registered Nurse (Registered Nurse First Assistant)
2800 ROSS CLARK CIR
DOTHAN, AL 36301
Dermatology
2800 ROSS CLARK CIR, SUITE 1
DOTHAN, AL 36301
Plastic Surgery
2800 ROSS CLARK CIR, SUITE 2
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
2800 ROSS CLARK CIR, SUITE 3
DOTHAN, AL 36301
Optometrist
2800 ROSS CLARK CIR
DOTHAN, AL 36301

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 Harsha Sen's NPI number?

The NPI number for Harsha Sen is 1255692414. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Harsha Sen located?

Harsha Sen practices at 2800 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 793-2211.

What is Harsha Sen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Harsha Sen enrolled in Medicare?

Yes. Harsha Sen 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 Harsha Sen accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Insurance Company and UnitedHealthcare list Harsha Sen 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 Harsha Sen was last updated on May 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.