RAJKA MICIC MD
NPI 1124600168
Pediatrics in Deland, FL

Q: What is Rajka Micic's NPI number?

The NPI number for Rajka Micic is 1124600168. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Q: What is Rajka Micic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rajka Micic was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 28, 2021PECOS Enrolled

809 N STONE ST, DELAND, FL 32720(386) 734-1824(386) 738-7497 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2024, Apr 28, 2021 (2 updates tracked since 2021).

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About Rajka Micic Md NPPES

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

RAJKA MICIC MD (NPI 1124600168) is an individual pediatrics provider in Deland, Florida, licensed in Florida (ME167259) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124600168

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameRAJKA MICICCredential: MD

Location Address809 N STONE STDeland, FL 32720-3255

Mailing Address900 S Pine Island Rd Ste 800Plantation, FL 33324-3923 · (954) 967-6400 · Fax (954) 337-5755

Phone(386) 734-1824

Fax(386) 738-7497

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 28, 2021

Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1124600168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME167259

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

809 N STONE ST, Deland, FL 32720

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajka Micic Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901301647

PECOS Enrollment IDI20250924003099

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.

Medicare Billing Reassignment

Medicare enrollment records show Rajka Micic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Affiliate Group Of New York PC

912 mi

Dietitian, Registered

506 LENOX AVE
New York, NY 10037

Reassigned Medicare billing, New York enrollment
2,094 clinicians in this Medicare group

NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32720 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY LYNN PARDICK APRN

Nurse Practitioner (Pediatrics)