DR. THOMAS ANTHONY LICATA DO
NPI 1427638659
Family Medicine in Wausau, WI
About Dr. Thomas Anthony Licata Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS ANTHONY LICATA DO (NPI 1427638659) is an individual family medicine provider in Wausau, Wisconsin, licensed in Wisconsin (81059-21) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Thomas Anthony Licata Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Licata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Wausau Hospital
Acute Care Hospitals · Wausau, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WAUSAU, WI 54401
WAUSAU, WI 54401
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 Thomas Licata's NPI number?
The NPI number for Thomas Licata is 1427638659. It was assigned to this individual provider in the NPPES registry on April 12, 2021.
Where is Thomas Licata located?
Thomas Licata practices at 333 Pine Ridge Blvd, Wausau, WI 54401. The listed phone number is (715) 675-3391.
What is Thomas Licata's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thomas Licata enrolled in Medicare?
Yes. Thomas 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.
Which organizations bill Medicare for Thomas Licata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Licata reassigns Medicare benefits to 2 organizations: Aspirus Wausau Hospital, Inc (Wausau, WI) and Aspirus Medford Hospital & Clinics, Inc. (Athens, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Licata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Licata accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Thomas 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 Thomas Licata affiliated with any hospitals?
According to CMS data, Thomas Licata is affiliated with Aspirus Wausau Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Licata was last updated on June 3, 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.
# Dr. Thomas Anthony Licata, DO · NPI 1427638659
Family Medicine physician in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1427638659 (Entity type: Individual)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 81059-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 PINE RIDGE BLVD, Wausau, WI 54401-4102
- **Phone:** (715) 675-3391
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aspirus Wausau Hospital, Inc (NPI 1740341585, Wausau, WI); Aspirus Medford Hospital & Clinics, Inc. (NPI 1760912919, Athens, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2021
## Record status
- **NPPES last updated:** June 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1427638659) · Data from the CMS NPPES public registry.