DR. RAMIRO ICAZA M.D.
NPI 1457463960
Family Medicine in Sikeston, MO

Q: What is Ramiro Icaza's NPI number?

The NPI number for Ramiro Icaza is 1457463960. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Ramiro Icaza'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 Ramiro Icaza was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1008 N MAIN ST, SIKESTON, MO 63801(573) 472-6001(573) 472-6006 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2018, May 16, 2017, Jan 28, 2016 (3 updates tracked since 2016).

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About Dr. Ramiro Icaza M.d. NPPES

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

DR. RAMIRO ICAZA M.D. (NPI 1457463960) is an individual family medicine provider in Sikeston, Missouri, licensed in Missouri (MDR7D79) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1457463960

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAMIRO ICAZACredential: M.D.

Location Address1008 N MAIN STSikeston, MO 63801

Mailing Address430 West Independence StreetJackson, MO 63755 · (573) 243-0750 · Fax (813) 891-9066

Phone(573) 472-6001

Fax(573) 472-6006

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 14, 20183 updates tracked since enumeration

✔ NPI 1457463960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · MDR7D79

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.

1008 N MAIN ST, Sikeston, MO 63801

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Secondary Practice Location 1

Location 1430 West Independence StreetJackson, MO 63755 · Phone (573) 243-0750 · Fax (573) 243-4700

Other Identifiers 2

Other000094200MO · Medicare Id Kies Personal

Medicaid202995807MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Ramiro Icaza M.d. 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 ID1052505740

PECOS Enrollment IDI20101026001419

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 Reassignments

Medicare enrollment records show Ramiro Icaza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Missouri Delta Medical Center

0.1 mi

General Acute Care Hospital

1008 N MAIN ST
Sikeston, MO 63801

Reassigned Medicare billing, Missouri enrollment
203 clinicians in this Medicare group

NPI 1831269539 (573) 471-1600

Alliance Health And Dermatology, LLC

28 mi

Clinic/Center

304 S MOUNT AUBURN RD
Cape Girardeau, MO 63703

Reassigned Medicare billing, Missouri enrollment
10 clinicians in this Medicare group

NPI 1952958449 (573) 803-3331

Pemiscot County Memorial Hospital

46 mi

Clinic/Center

946 E REED ST
Hayti, MO 63851

Reassigned Medicare billing, Missouri enrollment
81 clinicians in this Medicare group

NPI 1942881834 (573) 359-1372

Big Springs Medical Association

46 mi

Federally Qualified Health Center (FQHC)

711 NICKEY ST
Poplar Bluff, MO 63901

Reassigned Medicare billing, Missouri enrollment
104 clinicians in this Medicare group

NPI 1952178337 (573) 785-7047

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260110

Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63801 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$27.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERICA LEIGH WILSON APRN, FNP-BC

Nurse Practitioner (Family)