NPI Number Lookup

Free National NPI Number Registry

David J Licini

Home > David J Licini

 

NPI Number Detailed Information

Provider Information:

Name: David J Licini
Gender: M
Provider License Number If Given: 01071339A

NPI Information:

NPI: 1801086343
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 7/31/2007
Last Update Date: 10/27/2021
Reputation Report:

Provider Business Mailing Address:

Address: 250 N SHADELAND AVE
Indianapolis, IN 46219
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1302 S ROGERS ST
Bloomington, IN 47403
Phone Number: 8123332663
Fax Number: 8126764131

Provider Taxonomy:

Primary: 207XS0114X
Secondary (if any): 207X00000X
State: IN

Top Doctors in IN

 

About David J Licini

David J Licini ( DAVID J LICINI ) is Recognized Orthopaedic Surgery Physician in Bloomington, IN. The NPI Number for David J Licini is 1801086343.
The current location address for David J Licini is 1302 S ROGERS ST Bloomington, IN 47403 and the contact number is and fax number is . The mailing address for David J Licini is 250 N SHADELAND AVE Indianapolis, IN 46219- 8123332663 (mailing address contact number - ).
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Provider Business Location on Map

FAQs:

What is the NPI Number for David J Licini ?


Answer: The NPI Number for David J Licini is 1801086343

Where is David J Licini located?


Answer: David J Licini is located at 1302 S ROGERS ST Bloomington, IN 47403.

What is the specialty for David J Licini ?


Answer: The Specialty of David J Licini is Recognized Orthopaedic Surgery Physician.

Are there any online reviews for David J Licini ?


Answer: Yes! Check It Now.

Are there any other health care providers in Bloomington, IN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by David J Licini

Number of HCPCS 74
Number of Medicare Beneficiaries 421
Number of Services 2135
Total Submitted Charge Amount 847353.75
Total Medicare Allowed Amount 202128.4
Total Medicare Payment Amount 156458.36
Total Medicare Standardized Payment Amount 169345.25
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 91
Number of Drug Services 929
Total Drug Submitted Charge Amount 19862
Total Drug Medicare Allowed Amount 7529.5
Total Drug Medicare Payment Amount 5973.63
Total Drug Medicare Standardized Payment Amount 5854.25
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 70
Number of Medicare Beneficiaries With Medical 421
Number of Medical Services 1206
Total Medical Submitted Charge Amount 827491.75
Total Medical Medicare Allowed Amount 194598.9
Total Medical Medicare Payment Amount 150484.73
Total Medical Medicare Standardized Payment Amount 163491
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 31
Number of Beneficiaries Age 65 to 74 209
Number of Beneficiaries Age 75 to 84 126
Number of Beneficiaries Age Greater 84 55
Number of Female Beneficiaries 268
Number of Male Beneficiaries 153
Number of Non-Hispanic White Beneficiaries 405
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 61
Number of Beneficiaries With Medicare Only Entitlement 360
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.12
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.34
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.6
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis 0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.0541

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Orthopedic Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 570
Number of Standardized 30-Day Fills 580.8
Aggregate Cost Paid for All Claims 7688.9
Number of Day's Supply for All Claims 6340
Number of Medicare Beneficiaries 188
Number of Claims, Including Refills, for Beneficiaries Age 65+ 474
Including Refills, for Beneficiaries Age 65+ 480.8
Beneficiaries Age 65+ 5875.91
Number of Day's Supply for All Claims for Beneficaries Age 65+ 5266
Number of Medicare Beneficiaries Age 65+ 165
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 565
Aggregate Cost Paid for Generic Drugs 5125.38
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 327
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 4870.54
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 243
Aggregate Cost Paid for Claims Filled by 2818.36
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 143
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 2763.57
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 427
by Low-Income Subsidy 4925.33
Total Claims of Opioid Drugs, Including 201
Aggregate Cost Paid for Opioid Drugs 2095.45
Opioid Claims 92
Opioid_Tot_Clms divided by the Tot_Clms 35.263157895
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 130
Aggregate Cost Paid for Antibiotic Drugs 1018.23
Antibiotic Claims 78
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 71.175531915
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 114
Number of Beneficiaries Age 75 to 84 42
Number of Female Beneficiaries 131
Number of Male Beneficiaries 57
Number of Non-Hispanic White 181
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 145
Average Hierarchical Condition Category 1.1405367434

More Providers in bloomington , in

Dr. Ricardo Vasquez
Vascular Surgery Physician
NPI Number: 1689622573
Address: 815 W 2ND ST Bloomington, IN 47403 , Phone: 8123366008
Laureen S Knuteson
Physician Assistant
NPI Number: 1326096124
Address: 707 W 2ND ST Bloomington, IN 47403 , Phone: 8123345081
Dr. Jeremy George Remus
Family Medicine Physician
NPI Number: 1467401794
Address: 2651 E DISCOVERY PKWY Bloomington, IN 47408 , Phone: 8126764102
Joshua A. Watkins
Pain Medicine (Anesthesiology) Physician
NPI Number: 1275581761
Address: 601 W 2ND ST Bloomington, IN 47403 , Phone: 8123539147
Bret J. Spier
Gastroenterology Physician
NPI Number: 1710935309
Address: 550 S LANDMARK AVE Bloomington, IN 47403 , Phone: 8123335973
Rebecca Jane Harris
Physician Assistant
NPI Number: 1356399026
Address: 1520 S LIBERTY DR Bloomington, IN 47403 , Phone: 8126764300
Jerry Michael Jesseph
Surgery Physician
NPI Number: 1952359523
Address: 901 W 1ST ST Bloomington, IN 47403 , Phone: 8123327277
Dr. John Stephen Schechter
Pediatrics Physician
NPI Number: 1154379618
Address: 719 W 1ST ST Bloomington, IN 47403 , Phone: 8123396151
Transitional Services, Inc
Intellectual Disabilities Intermediate Care Facility
NPI Number: 1083663900
Address: 4812 W STATE ROAD 45 Bloomington, IN 47403 , Phone: 8128255038
Dr. Christina M Cabott
Emergency Medicine Physician
NPI Number: 1073562518
Address: 601 W 2ND ST Bloomington, IN 47403 , Phone: 8123361690
Brett Joseph King
Optometrist
NPI Number: 1083663488
Address: 744 E 3RD ST Bloomington, IN 47405 , Phone: 8128551344
Markus M. Fitzek
Radiation Oncology Physician
NPI Number: 1932159860
Address: 2425 MILO B. SAMPSON LANE Bloomington, IN 47408 , Phone: 8123495074
Dr. Steven E Lynn
Dentist
NPI Number: 1669423984
Address: 2920 MCINTYRE DR SUITE 200 Bloomington, IN 47403 , Phone: 8123238112
Dr. Eric T. Scheper
Internal Medicine Physician
NPI Number: 1891746251
Address: 601 W 2ND ST Bloomington, IN 47403 , Phone: 8126764102
Mrs. Beth Mundy
Nurse Practitioner
NPI Number: 1457301020
Address: 2920 S MCINTIRE DR STE 350 Bloomington, IN 47403 , Phone: 8123533277
Joanna Hwang Watkins
Otolaryngology Physician
NPI Number: 1124079496
Address: 2920 S MCINTIRE DR SUITE 350 Bloomington, IN 47403 , Phone: 8123327337
Hendricks County Hospital
Skilled Nursing Facility
NPI Number: 1821040031
Address: 155 E BURKS DR Bloomington, IN 47401 , Phone: 8123324437
Maureen Kipp
Clinical Social Worker
NPI Number: 1568414043
Address: 803 N MONROE ST Bloomington, IN 47404 , Phone: 8123321262
Bloomington Dental Group
General Practice Dentistry
NPI Number: 1770535916
Address: 1600 W BLOOMFIELD RD Bloomington, IN 47403 , Phone: 8123231530
Indianapolis Vamc
VA Clinic/Center
NPI Number: 1831140417
Address: 2100 S LIBERTY DR Bloomington, IN 47403 , Phone: 6088217200
Unity Physician Group, Pc
Urgent Care Clinic/Center
NPI Number: 1558314260
Address: 1155 W 3RD ST Bloomington, IN 47404 , Phone: 8123361690
Jennifer M Myers
Mental Health Counselor
NPI Number: 1164475349
Address: 120 W 7TH ST SUITE 312 Bloomington, IN 47404 , Phone: 8123342500
Dr. Timothy J Devitt
Oral and Maxillofacial Surgery (Dentist)
NPI Number: 1164475323
Address: 1116 S COLLEGE MALL RD Bloomington, IN 47401 , Phone: 8123322204
Transitional Services, Inc.
Developmentally Disabled Services Day Training Agency
NPI Number: 1164475521
Address: 1917 S LIBERTY DR Bloomington, IN 47403 , Phone: 8124333333
Leigh A. Halpern
Emergency Medicine Physician
NPI Number: 1508810847
Address: 601 W 2ND ST Bloomington, IN 47403 , Phone: 8123539515
Mrs. Jacqulyne S Booker
Nurse Practitioner
NPI Number: 1316991557
Address: 995 S CLARIZZ BLVD Bloomington, IN 47401 , Phone: 8123533060
Bloomington Anesthesiologists Pc
Anesthesiology Physician
NPI Number: 1912951054
Address: 601 W 2ND ST Bloomington, IN 47403 , Phone: 8123348958
Dr. Robert L Goddard JR.
Emergency Medical Services (Emergency Medicine) Physician
NPI Number: 1982658886
Address: 817 W ROSEWOOD DR Bloomington, IN 47404 , Phone: 8129292952
Dr. John Paul Jesseph
Anesthesiology Physician
NPI Number: 1326093683
Address: 601 W 2ND ST Bloomington, IN 47403 , Phone: 8123536821
Dr. Donald R Faimon
Optometrist
NPI Number: 1639124761
Address: 744 E 3RD ST Bloomington, IN 47405 , Phone: 8128558436
Dr. Robert T Adams
Emergency Medicine Physician
NPI Number: 1437106341
Address: 601 W 2ND ST Bloomington, IN 47403 , Phone: 8123361690
Troy Factora
Physical Therapist
NPI Number: 1730136227
Address: 4651 W VERNAL PIKE Bloomington, IN 47404 , Phone: 8123327529
Yuri Zelenin
Anesthesiology Physician
NPI Number: 1154378776
Address: 601 W 2ND ST Bloomington, IN 47403 , Phone: 8123539469
Charles Vincent Woodson
Certified Registered Nurse Anesthetist
NPI Number: 1497792659
Address: 2920 MCINTIRE DRIVE, SUITE 150 ATTN: MARIA MITCHELL Bloomington, IN 47403 , Phone: 8123375003
Keith F Watson
Nephrology Physician
NPI Number: 1972540557
Address: 550 S LANDMARK AVE Bloomington, IN 47403 , Phone: 8126764660
Lincare Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1396783957
Address: 2160 S YOST AVE Bloomington, IN 47403 , Phone: 8123395579
Southerncare, Inc.
Community Based Hospice Care Agency
NPI Number: 1750329132
Address: 1923 S LIBERTY DR Bloomington, IN 47403 , Phone: 8123348343
Wound Care Center, Llc
General Practice Physician
NPI Number: 1083652556
Address: 2920 MCINTYRE DR SUITE 103 Bloomington, IN 47403 , Phone: 8123532870
Dr. Richard Saini
Psychiatry Physician
NPI Number: 1871532168
Address: 645 S ROGERS ST Bloomington, IN 47403 , Phone: 8123391691
Nicole Tien Chao
Pediatrics Physician
NPI Number: 1750320545
Address: 350 S LANDMARK AVE Bloomington, IN 47403 , Phone: 8123352434
Dr. Frank B Shahbahrami JR.
Anesthesiology Physician
NPI Number: 1871533083
Address: 708 ROMANS CT Bloomington, IN 47401 , Phone: 8123348958
Southerncare, Inc.
Community Based Hospice Care Agency
NPI Number: 1710927298
Address: 1923 S LIBERTY DR Bloomington, IN 47403 , Phone: 8123348343
Big Al'S Mobility Solutions, Inc.
Durable Medical Equipment & Medical Supplies
NPI Number: 1578504080
Address: 924 W 17TH ST Bloomington, IN 47404 , Phone: 8123331100
Jeffrey C Buchsbaum
Radiation Oncology Physician
NPI Number: 1568402303
Address: 2425 N MILO B SAMPSON LN Bloomington, IN 47408 , Phone: 8123495074
Hook Superx Llc
Durable Medical Equipment & Medical Supplies
NPI Number: 1730120635
Address: 3910 W 3RD ST Bloomington, IN 47404 , Phone: 8123394006
Hook Superx Llc
Community/Retail Pharmacy
NPI Number: 1942241864
Address: 510 S COLLEGE MALL RD Bloomington, IN 47401 , Phone: 8123360279
Family Service Association Of Monroe County
Mental Health Counselor
NPI Number: 1841231677
Address: 120 W 7TH ST SUITE 104 Bloomington, IN 47404 , Phone: 8123391551
Lucinda Jordan
Chiropractor
NPI Number: 1578505558
Address: 3901 E 3RD ST Bloomington, IN 47401 , Phone: 8123340082
Indiana University
Optometrist
NPI Number: 1174566921
Address: 744 E 3RD ST Bloomington, IN 47405 , Phone: 8128558436
Theraplay Llc
Occupational Therapist
NPI Number: 1598708109
Address: 4651 W VERNAL PIKE Bloomington, IN 47404 , Phone: 8123327529

david J licini in Other Directories

Provider don't have other directory link yet.