DR. PAUL RICHARD SENSIBA MD
NPI 1972629517
Orthopaedic Surgery in State College, PA

Q: What is Paul Sensiba's NPI number?

The NPI number for Paul Sensiba is 1972629517. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Paul Sensiba's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Sensiba was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment

101 REGENT CT, STATE COLLEGE, PA 16801(814) 231-2101(814) 231-8569 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Paul Richard Sensiba Md NPPES

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

DR. PAUL RICHARD SENSIBA MD (NPI 1972629517) is an individual orthopaedic surgery provider in State College, Pennsylvania, licensed in Pennsylvania (MD440296) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Ohio State University College Of Medicine (2004).

NPPES Registry Identity

NPI1972629517

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. PAUL RICHARD SENSIBACredential: MD

Location Address101 REGENT CTState College, PA 16801-7965

Mailing Address101 Regent CtState College, PA 16801-7965 · (814) 231-2101 · Fax (814) 231-8569

Phone(814) 231-2101

Fax(814) 231-8569

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2004

Enumeration DateMarch 22, 2007

Last NPPES UpdateJuly 7, 2010

✔ NPI 1972629517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in PA · MD440296

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

101 REGENT CT, State College, PA 16801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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. Paul Richard Sensiba 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 ID1456547827

PECOS Enrollment IDI20200612001852

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.

Hospital Affiliations CMS Care Compare 2

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270012

Location1101 26th St SGreat Falls, MT 59405 · Cascade County

Emergency services Birthing friendly

Central Montana Medical Center

Critical Access Hospitals · Lewistown, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271345

Location408 Wendell AveLewistown, MT 59457 · Fergus County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16801 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

MICHELE LYNN BAILEY-FENUSH MOT, OTR/L, CHT

Occupational Therapist