Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MATTHEW LICAUSE MD
NPI 1205890019
Family Medicine in North Canton, OH

Q: What is Matthew Licause's NPI number?

The NPI number for Matthew Licause is 1205890019. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Q: What is Matthew Licause's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Licause was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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 17, 2006

6512 WHIPPLE AVE NW, NORTH CANTON, OH 44720(330) 499-5600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Matthew Licause Md NPPES

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

DR. MATTHEW LICAUSE MD (NPI 1205890019) is an individual family medicine provider in North Canton, Ohio, licensed in Ohio (35055573) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1205890019

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MATTHEW LICAUSECredential: MD

Location Address6512 WHIPPLE AVE NWNorth Canton, OH 44720-7340

Mailing Address3031 Midvale Rd NwCanton, OH 44718-3237 · (330) 499-5600

Phone(330) 499-5600

Sole ProprietorNo

Enumeration DateApril 17, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1205890019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35055573

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6512 WHIPPLE AVE NW, North Canton, OH 44720

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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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

97%79 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%167 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

DR. GUST PANTELAS MD

Family Medicine