DR. THOMAS ANTHONY LICATA DO
NPI 1427638659
Family Medicine in Wausau, WI

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
333 PINE RIDGE BLVD, WAUSAU, WI 54401(715) 675-3391 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2024, Oct 31, 2023, Apr 12, 2021 (3 updates tracked since 2021).

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

NPI1427638659
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS ANTHONY LICATACredential: DO
Location Address333 PINE RIDGE BLVDWausau, WI 54401-4102
Mailing Address333 Pine Ridge BlvdWausau, WI 54401-4102
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateJune 3, 20243 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
NPI 1427638659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 81059-21
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.
333 PINE RIDGE BLVD, Wausau, WI 54401

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

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.

PECOS PAC ID8123475258
PECOS Enrollment IDI20231113000321
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services15 patients

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, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Clinic/Center
333 PINE RIDGE BLVD, SUITE 185
WAUSAU, WI 54401
Emergency Medicine
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Physical Therapist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Physician Assistant
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Physical Therapist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Speech-Language Pathologist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Emergency Medicine (Emergency Medical Services)
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Radiology (Diagnostic Radiology)
333 PINE RIDGE BLVD
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.

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.