ANDREW LICATA M.D.
NPI 1053843813
Surgery in Uniontown, PA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
500 W BERKELEY ST, UNIONTOWN, PA 15401(724) 430-5000 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2022, Mar 31, 2017 (2 updates tracked since 2017).

About Andrew Licata M.d. NPPES

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

ANDREW LICATA M.D. (NPI 1053843813) is an individual surgery provider in Uniontown, Pennsylvania, licensed in Pennsylvania (MD476933) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of West Virginia University School Of Medicine (2017).

NPPES Registry Identity

NPI1053843813
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDREW LICATACredential: M.D.
Location Address500 W BERKELEY STUniontown, PA 15401-5596
Mailing Address500 W Berkeley StUniontown, PA 15401-5514
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateJune 27, 20222 updates tracked since enumeration
NPPES CertifiedJune 27, 2022
NPI 1053843813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MD476933
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License F397214 (WV)
500 W BERKELEY ST, Uniontown, PA 15401

Accepted 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

Andrew Licata 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 ID9537548854
PECOS Enrollment IDI20220616001879
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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15401 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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
500 W BERKELEY ST
UNIONTOWN, PA 15401
Nurse Anesthetist, Certified Registered
500 W BERKELEY ST
UNIONTOWN, PA 15401
Emergency Medicine
500 W BERKELEY ST
UNIONTOWN, PA 15401
Radiology (Diagnostic Radiology)
500 W BERKELEY ST
UNIONTOWN, PA 15401
Anesthesiology
500 W BERKELEY ST
UNIONTOWN, PA 15401
Clinical Nurse Specialist (Family Health)
500 W BERKELEY ST
UNIONTOWN, PA 15401
Physician Assistant
500 W BERKELEY ST
UNIONTOWN, PA 15401
Physician Assistant (Medical)
500 W BERKELEY ST
UNIONTOWN, PA 15401

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 Andrew Licata's NPI number?

The NPI number for Andrew Licata is 1053843813. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Andrew Licata located?

Andrew Licata practices at 500 W Berkeley St, Uniontown, PA 15401. The listed phone number is (724) 430-5000.

What is Andrew Licata's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrew Licata enrolled in Medicare?

Yes. Andrew Licata 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 Andrew Licata accept?

Health plans from CareSource list Andrew Licata 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 Andrew Licata affiliated with any hospitals?

According to CMS data, Andrew Licata is affiliated with Upmc Mckeesport Hospital, Uniontown Hospital and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Andrew Licata was last updated on June 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.