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SUSAN HEIDI SENFT M.D.
NPI 1972660140
Ophthalmology in Kailua Kona, HI

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
87.45/100
CMS Quality Rating
75-1028 HENRY ST, SUITE 200, KAILUA KONA, HI 96740(808) 329-3937(808) 329-0633 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Heidi Senft M.d. NPPES

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

SUSAN HEIDI SENFT M.D. (NPI 1972660140) is an individual ophthalmology provider in Kailua Kona, Hawaii, licensed in Hawaii (MD-8824) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Kona Community Hospital, and is a graduate of George Washington University School Of Medicine (1979).

NPPES Registry Identity

NPI1972660140
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSUSAN HEIDI SENFTCredential: M.D.
Location Address75-1028 HENRY ST, SUITE 200Kailua Kona, HI 96740-1693
Mailing Address75-1028 Henry St, Suite 200Kailua Kona, HI 96740-1693 · (808) 329-3937 · Fax (808) 329-0633
Phone(808) 329-3937
Fax(808) 329-0633
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1979
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972660140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in HI · MD-8824
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
75-1028 HENRY ST, Kailua Kona, HI 96740
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedH101225HI
Medicaid040732-01HI
Medicare UPINF24802HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Susan Heidi Senft 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 ID7214950203
PECOS Enrollment IDI20060105000012
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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
98 services51 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
71 services46 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
68 services49 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
36 services28 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
29 services24 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Kona Community Hospital

Acute Care Hospitals · Kealakekua, HI
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120019
Location79-1019 Haukapila StreetKealakekua, HI 96750 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

87.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost58.18

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.

HUALALAI DENTAL SERVICES
Dentist
75-1028 HENRY ST, SUITE 203
KAILUA KONA, HI 96740
Hawaii County (808) 329-4425
ELITE SMILE CENTER, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
75-1028 HENRY ST, SUITE 203
KAILUA KONA, HI 96740
Hawaii County (808) 329-4425
CHARLES A ROBERTS DDS
Dentist
75-1028 HENRY ST, STE. 203
KAILUA KONA, HI 96740
Hawaii County (808) 329-4425
DR. REGINALD CHRISTIAN RICE DDS
Dentist
75-1028 HENRY ST
KAILUA KONA, HI 96740
Hawaii County (808) 443-5203
RONY ESCOBAR DDS
Dentist (General Practice)
75-1028 HENRY ST, SUITE 203
KAILUA KONA, HI 96740
Hawaii County (808) 329-4425
DR. TERRENCE PATRICK CODINGTON D.D.S.
Dentist (General Practice)
75-1028 HENRY ST, SUITE 102
KAILUA KONA, HI 96740
Hawaii County (808) 329-0025
HAWAII DENTAL GROUP, INC.
Dentist (General Practice)
75-1028 HENRY ST, SUITE 102
KAILUA KONA, HI 96740
Hawaii County (808) 329-0025
MARIAN MEGELLY D.M.D
Dentist
75-1028 HENRY ST, #102
KAILUA KONA, HI 96740
Hawaii County (808) 329-0025

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 Susan Senft's NPI number?

The NPI number for Susan Senft is 1972660140. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Susan Senft located?

Susan Senft practices at 75-1028 Henry St Suite 200, Kailua Kona, HI 96740. The listed phone number is (808) 329-3937.

What is Susan Senft's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Susan Senft enrolled in Medicare?

Yes. Susan Senft 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 Susan Senft accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HMSA list Susan Senft 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 Susan Senft affiliated with any hospitals?

According to CMS data, Susan Senft is affiliated with Kona Community Hospital.

When was this NPI record last updated?

The NPPES record for Susan Senft was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.