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DR. DANNY LEROY LICKNESS MD
NPI 1275553653
Obstetrics & Gynecology in San Luis Obispo, CA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
35 CASA STREET, SUITE 220, SAN LUIS OBISPO, CA 93405(805) 786-4111(805) 543-6357 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Danny Leroy Lickness Md NPPES

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

DR. DANNY LEROY LICKNESS MD (NPI 1275553653) is an individual obstetrics & gynecology provider in San Luis Obispo, California, licensed in California (G44986) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1979).

NPPES Registry Identity

NPI1275553653
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DANNY LEROY LICKNESSCredential: MD
Location Address35 CASA STREET, SUITE 220San Luis Obispo, CA 93405-1890
Mailing Address117 West Bunny AvenueSanta Maria, CA 93458-2805 · (805) 786-4111 · Fax (805) 543-6357
Phone(805) 786-4111
Fax(805) 543-6357
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1979
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 23, 2015
✔ NPI 1275553653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G44986
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
35 CASA STREET, San Luis Obispo, CA 93405
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Other Identifiers 3

MedicaidGR0092202CA
Medicaid00G449860CA
OtherCB221890CA · Medicare Id

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

Dr. Danny Leroy Lickness Md 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 ID9638063142
PECOS Enrollment IDI20040213000208
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

Other Providers at the Same Location NPPES 3

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

CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
Obstetrics & Gynecology
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 548-0775
VICKI L CHARBONNEAU NP, CNM
Nurse Practitioner
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 786-4111
CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
Obstetrics & Gynecology
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 548-0775

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 Danny Lickness's NPI number?

The NPI number for Danny Lickness is 1275553653. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Danny Lickness located?

Danny Lickness practices at 35 Casa Street Suite 220, San Luis Obispo, CA 93405. The listed phone number is (805) 786-4111.

What is Danny Lickness's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Danny Lickness enrolled in Medicare?

Yes. Danny Lickness 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.

When was this NPI record last updated?

The NPPES record for Danny Lickness was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.