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DR. SANDRA N SENESHEN M.D.
NPI 1396730669
Surgery in Jeffersonville, IN

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
301 GORDON GUTMANN BLVD, SUITE 401, JEFFERSONVILLE, IN 47130(812) 282-0637(812) 283-6330 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Sandra N Seneshen M.d. NPPES

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

DR. SANDRA N SENESHEN M.D. (NPI 1396730669) is an individual surgery provider in Jeffersonville, Indiana, licensed in Indiana (01053197A) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1396730669
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SANDRA N SENESHENCredential: M.D.
Location Address301 GORDON GUTMANN BLVD, SUITE 401Jeffersonville, IN 47130-3764
Mailing AddressPo Box 776351 Suite 401Chicago, IL 60677-6351 · (502) 559-9337 · Fax (502) 272-5339
Phone(812) 282-0637
Fax(812) 283-6330
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 13, 2005
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1396730669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 01053197A
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

301 GORDON GUTMANN BLVD, Jeffersonville, IN 47130
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Other Identifiers 6

Medicaid200267780IN
Other196290271IN · Medicare
Medicaid200267780AIN
Other01053197AIN · State Id #
Medicaid7100447830KY
Other01053197BIN · Controlled Substance Reg

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian 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

Dr. Sandra N Seneshen 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 ID1456366194
PECOS Enrollment IDI20100924000083
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 7

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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
65 services18 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.
28 services13 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.
25 services25 patients
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.
21 services11 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.
20 services16 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47130 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims120 services$9.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

SURGICAL ASSOCIATES SOUTHERN INDIANA, PSC
Surgery
301 GORDON GUTMANN BLVD, SUITE 401
JEFFERSONVILLE, IN 47130
Clark County (812) 282-0637
CHERYL K BOOTH APRN
Nurse Practitioner
301 GORDON GUTMANN BLVD, SUITE 301
JEFFERSONVILLE, IN 47130
Clark County (812) 288-9969
DR. PATRI MARIE MARCONI MD
Surgery
301 GORDON GUTMANN BLVD, SUITE 401
JEFFERSONVILLE, IN 47130
Clark County (812) 282-0637
LOIS A BURNETT NP
Nurse Practitioner
301 GORDON GUTMANN BLVD, SUITE 101
JEFFERSONVILLE, IN 47130
Clark County (812) 294-1302
AMANDA SUE DAVENPORT M.D.
Obstetrics & Gynecology
301 GORDON GUTMANN BLVD, SUITE 201
JEFFERSONVILLE, IN 47130
Clark County (812) 282-6114
MIAN MUSHTAQ M.D.
Internal Medicine (Hematology & Oncology)
301 GORDON GUTMANN BLVD, STE 301
JEFFERSONVILLE, IN 47130
Clark County (812) 288-9969
DR. ELISABETH C VON BUN M.D.
Internal Medicine (Hematology & Oncology)
301 GORDON GUTMANN BLVD, SUITE 301
JEFFERSONVILLE, IN 47130
Clark County (812) 288-9969
WOMAN CARE, LLC
Obstetrics & Gynecology
301 GORDON GUTMANN BLVD, SUITE 201
JEFFERSONVILLE, IN 47130
Clark County (812) 282-6114

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 Sandra Seneshen's NPI number?

The NPI number for Sandra Seneshen is 1396730669. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Sandra Seneshen located?

Sandra Seneshen practices at 301 Gordon Gutmann Blvd Suite 401, Jeffersonville, IN 47130. The listed phone number is (812) 282-0637.

What is Sandra Seneshen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sandra Seneshen enrolled in Medicare?

Yes. Sandra Seneshen 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 Sandra Seneshen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Sandra Seneshen 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 Sandra Seneshen affiliated with any hospitals?

According to CMS data, Sandra Seneshen is affiliated with Clark Memorial Hospital and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Sandra Seneshen was last updated on April 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.