Karolyn M. Senica, MD
Orthopaedic Surgery Physician · Springfield, IL
Karolyn M. Senica, MD is an orthopaedic surgery physician with a practice address in Springfield, Illinois, and NPI 1609855485, issued on Jan 11, 2006. Check the license (Illinois 036092605, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Karolyn M. Senica
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 036092605 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1301 S Koke Mill RD, Springfield, IL 62711
- Phone
- (217) 547-9100
- Enumerated
- Jan 11, 2006
- Record last updated
- Apr 13, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (217) 547-9247
- Medicaid ID
- 036092605 IL
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 995 in Illinois → Look up another NPI →
Also registered at 1301 S Koke Mill RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- D Allan, MDAdult Reconstructive Orthopaedic Surgery Physician1902892607
- Zachary Barnett, PASurgical Physician Assistant1245850767
- Mary Bedford, RNFARegistered Nurse First Assistant1275788143
- Sahebjit Bhasin, MDPhysical Medicine & Rehabilitation Physician1447873658
- Katherine Bottom, DPTPhysical Therapist1245835909
- Kaitlin Brown, PA-CPhysician Assistant1548974686
Verify Karolyn M. Senica in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036092605Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
90% more Medicare Part D claims than the average orthopaedic surgery physician in 2024
656 Medicare Part D claims for 394 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 171 claims were for opioids.
Most prescribed
- Meloxicam276 claims
- Tramadol Hcl130 claims
- Celecoxib55 claims
- Hydrocodone-Acetaminophen34 claims
- Cyclobenzaprine Hcl30 claims
- Ibuprofen29 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $34.55
2 payments; by number, the most common kind was food and beverage; the largest payer was Orthofix Medical, Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Karolyn M. Senica among 995 orthopaedic surgery physician records in Illinois
Karolyn M. Senica, MD is one of 995 orthopaedic surgery physician records with a practice address in Illinois. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.
- NPI issued2006 · 14% of these records are older, 49% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileNo · 56% of these records are
- Record last updated2020 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Illinois
There are 995 orthopaedic surgery physician records in Illinois.
All 995 in Illinois → Every provider in Springfield → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- George Gibson, DOSpringfield, IL 627111336361559
- Rodney Herrin, MDSpringfield, IL 627111407835457
- Kevin Kohut, MDSpringfield, IL 627111417513938
- Leo Ludwig, MDSpringfield, IL 627111689653628
- Ronald Romanelli, MDSpringfield, IL 627111295714244
- Jeffrey BakerSpringfield, IL 627021861235822
- Jackson BloughSpringfield, IL 627021760311542
- Parker Brush, MDSpringfield, IL 627021760173397
Common questions
What is Karolyn M. Senica, MD's NPI number?
Karolyn M. Senica, MD's National Provider Identifier (NPI) is 1609855485, issued on Jan 11, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Karolyn M. Senica, MD located?
The NPPES record lists a practice address at 1301 S Koke Mill RD, Springfield, IL, 62711. Phone: (217) 547-9100. Providers update this record themselves, so call before visiting.
How can I verify Karolyn M. Senica, MD's license?
NPPES lists Illinois license number 036092605, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karolyn M. Senica, MD prescribe under Medicare Part D?
In 2024, Karolyn M. Senica, MD had 656 Medicare Part D claims for 394 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Karolyn M. Senica, MD's MIPS final score?
The 2023 MIPS final score is 80.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.