DR. ETHAN M SENSER M.D.
NPI 1598114142
Internal Medicine - Cardiovascular Disease in Worcester, MA

Q: What is Ethan Senser's NPI number?

The NPI number for Ethan Senser is 1598114142. It was assigned to this individual provider in the NPPES registry on June 5, 2016.

Q: What is Ethan Senser'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 Ethan Senser was last updated on August 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 05, 2016PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

55 LAKE AVE N, WORCESTER, MA 01655(508) 334-3452 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 1, 2022, Jul 5, 2022, Jul 14, 2019 (3 updates tracked since 2019).

On this page

About Dr. Ethan M Senser M.d. NPPES

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

DR. ETHAN M SENSER M.D. (NPI 1598114142) is an individual cardiovascular disease provider in Worcester, Massachusetts, licensed in Massachusetts (292257) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1598114142

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. ETHAN M SENSERCredential: M.D.

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing AddressPo Box 415348Boston, MA 02241-5348

Phone(508) 334-3452

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2016

Enumeration DateJune 5, 2016

Last NPPES UpdateAugust 1, 20223 updates tracked since enumeration

NPPES CertifiedAugust 1, 2022

✔ NPI 1598114142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MA · 292257

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 ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 292257 (MA)

55 LAKE AVE N, Worcester, MA 01655

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Dr Dept OfLebanon, NH 03756-1000 · Phone (603) 650-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Ethan M Senser 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 ID8820384415

PECOS Enrollment IDI20220813000069

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 24

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.

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.

2,001 services1,653 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.

403 services396 patients

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

219 services213 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.

158 services149 patients

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

91 services91 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

80 services79 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.

75 services40 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

72 services72 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

66 services66 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

56 services56 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.

41 services39 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.

40 services40 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

40 services40 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

37 services37 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

29 services29 patients

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report 93355

This procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.

28 services28 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.

25 services25 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services21 patients

Mri scan of heart before and after contrast 75561

An MRI scan of the heart with contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed pictures of your heart. The contrast dye improves the clarity of these images. This test helps in diagnosing heart conditions.

23 services23 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.

23 services22 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

20 services20 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.

17 services17 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220019

Location100 South StreetSouthbridge, MA 01550 · Worcester County

Emergency services

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220090

Location14 Prospect StreetMilford, MA 01757 · Worcester County

Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220176

Location123 Summer StreetWorcester, MA 01608 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

97.02/100

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

Scored through an Alternative Payment Model

Quality

78.09

Promoting Interoperability

100

Improvement Activities

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.

DR. SARAH BETH SAXER PHARMD

Pharmacist (Pharmacotherapy)

55 LAKE AVE N, UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA 01655

Worcester County (508) 856-2763

MARTHA LAROSE SAMPSON CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

LINDA A PAPE M.D.

Internal Medicine (Cardiovascular Disease)

55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655

Worcester County (508) 856-3050

DR. DALE E RAUCH M.D.

Psychiatry & Neurology (Psychiatry)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 856-6580

DR. MAICHI T TRAN PHARM.D.

Pharmacist (Pharmacotherapy)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 856-1618

JESSICA L DOUGLAS MS

Genetic Counselor, MS

55 LAKE AVE N, S1-710
WORCESTER, MA 01655

Worcester County (508) 334-3517

DR. JULIANNE PATRICIA HUBER MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

ELLEN M GRAVALLESE M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-5224

DR. ABIGAIL ADAMS M.D.

Internal Medicine

55 LAKE AVE N, DEPARTMENT OF GENERAL MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-2731

GAMZE AYATA MD

Pathology (Anatomic Pathology)

55 LAKE AVE N, DEPARTMENT OF PATHOLOGY
WORCESTER, MA 01655

Worcester County (508) 793-6100

DR. MARIANNE E FELICE M.D.

Pediatrics (Adolescent Medicine)

55 LAKE AVE N, DEPARTMENT OF PEDIATRIC ADOLESCENT MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-3199

JOHN PULLERITS M.D.

Anesthesiology

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

DIANA I. KOUZNETSOV MD

Anesthesiology

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

DR. STANLEY K TAM MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

55 LAKE AVE N, DEPARTMENT OF SURGERY
WORCESTER, MA 01655

Worcester County (508) 334-3962

MICHAEL C. BUTLER MD

Emergency Medicine

55 LAKE AVE N, DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA 01655

Worcester County (508) 421-1400

DR. RUBEN PERALTA M.D.

Surgery (Surgical Critical Care)

55 LAKE AVE N, DEPARTMENT OF SURGICAL CRITICAL CARE
WORCESTER, MA 01655

Worcester County (508) 856-5288

ROBERT B ZURIER M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N, DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA 01655

Worcester County (508) 856-6246

JUDITH A STEBULIS M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N, DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-5224

DR. SHAN LU M.D.

Internal Medicine

55 LAKE AVE N, DEPARTMENT OF INTERNAL MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-6791

DR. MITCHELL CAHAN M.D.

Surgery

55 LAKE AVE N, DEPARTMENT OF GENERAL SURGERY
WORCESTER, MA 01655

Worcester County (508) 334-7656

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 Ethan Senser's NPI number?

The NPI number for Ethan Senser is 1598114142. It was assigned to this individual provider in the NPPES registry on June 5, 2016.

Where is Ethan Senser located?

Ethan Senser practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3452.

What is Ethan Senser's specialty?

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

Is Ethan Senser enrolled in Medicare?

Yes. Ethan Senser 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 Ethan Senser accept?

Health plans from Anthem Blue Cross and Blue Shield list Ethan Senser 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 Ethan Senser affiliated with any hospitals?

According to CMS data, Ethan Senser is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Milford Regional Medical Center, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Senser was last updated on August 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.