DR. PAUL RICHARD SENSIBA MD
NPI 1972629517
Orthopaedic Surgery in State College, PA
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 Central Montana Medical Center, and is a graduate of Ohio State University College Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Paul Sensiba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lewistown, MT 59457
- Reassigned Medicare billing, Montana enrollment
- Also billed through NPI 1770696601 (Montana)
- 83 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Central Montana Medical Center
Critical Access Hospitals · Lewistown, MTPhysician 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.
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.
STATE COLLEGE, PA 16801
STATE COLLEGE, PA 16801
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 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.
Where is Paul Sensiba located?
Paul Sensiba practices at 101 Regent Ct, State College, PA 16801. The listed phone number is (814) 231-2101.
What is Paul Sensiba's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Paul Sensiba enrolled in Medicare?
Yes. Paul Sensiba 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.
Which organization bills Medicare for Paul Sensiba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Sensiba reassigns Medicare benefits to Central Montana Medical Facilities, Inc. (Lewistown, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Sensiba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Sensiba accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Paul Sensiba 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 Paul Sensiba affiliated with any hospitals?
According to CMS data, Paul Sensiba is affiliated with Central Montana Medical Center.
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.
# Dr. Paul Richard Sensiba, MD · NPI 1972629517
Orthopaedic Surgery physician in State College, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1972629517 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD440296 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 REGENT CT, State College, PA 16801-7965
- **Phone:** (814) 231-2101 · **Fax:** (814) 231-8569
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Central Montana Medical Facilities, Inc. (NPI 1336252758, Lewistown, MT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** July 7, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1972629517) · Data from the CMS NPPES public registry.