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HEATHER H SENA MD
NPI 1598870131
Internal Medicine in Colorado Springs, CO

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
2405 RESEARCH PARKWAY, COLORADO SPRINGS, CO 80920(719) 522-1133(719) 268-2811 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather H Sena Md NPPES

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

HEATHER H SENA MD (NPI 1598870131) is an individual internal medicine provider in Colorado Springs, Colorado, licensed in Colorado (DR.0054312) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2003).

NPPES Registry Identity

NPI1598870131
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEATHER H SENACredential: MD
Location Address2405 RESEARCH PARKWAYColorado Springs, CO 80920
Mailing Address2 South Cascade Avenue, Suite 140Colorado Springs, CO 80903-1604 · (719) 538-2900 · Fax (719) 538-2961
Phone(719) 522-1133
Fax(719) 268-2811
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003
Enumeration DateAugust 21, 2006
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1598870131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · DR.0054312
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2405 RESEARCH PARKWAY, Colorado Springs, CO 80920
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Other Identifiers 3

Medicare PIN363628YLJVCO
Medicaid89632761CO
Medicare PINI65159CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Heather H Sena Md 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 ID1355341330
PECOS Enrollment IDI20140917002710
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 11

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.
500 services258 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
199 services199 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.
111 services34 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.
61 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
61 services61 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80920 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$39.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers29 claims29 services$81.30 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers27 claims79 services$32.57 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$42.06 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers25 claims25 services$15.82 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers25 claims25 services$9.39 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 7

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

LARA MORRIS PA
Physician Assistant (Medical)
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80920
El Paso County (719) 522-1133
TERRI SUE EWERS PA-C
Physician Assistant (Medical)
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80920
El Paso County (719) 522-1100
DR. DAVID C KOUKOL MD
Pediatrics
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80920
El Paso County (719) 522-1134
AIMEE D JOHNSON-WIRT M.D.
Pediatrics
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80920
El Paso County (719) 522-1134
GORDON R GOLDEN MD
Internal Medicine
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80920
El Paso County (719) 522-1133
DR. PATRICK J DEMUTH MD
Internal Medicine
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80920
El Paso County (719) 522-1133
DR. KATHLEEN G NITCHER MD
Pediatrics
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80920
El Paso County (719) 522-1134

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 Heather Sena's NPI number?

The NPI number for Heather Sena is 1598870131. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Heather Sena located?

Heather Sena practices at 2405 Research Parkway, Colorado Springs, CO 80920. The listed phone number is (719) 522-1133.

What is Heather Sena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Heather Sena enrolled in Medicare?

Yes. Heather Sena 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 Heather Sena accept?

Health plans from UnitedHealthcare list Heather Sena 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 Heather Sena was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.