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ROBERT P STICCA MD
NPI 1568526119
Surgery - Surgical Oncology in Grand Forks, ND

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
501 N COLUMBIA RD, GRAND FORKS, ND 58202(701) 777-3067 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Robert P Sticca Md NPPES

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

ROBERT P STICCA MD (NPI 1568526119) is an individual surgical oncology provider in Grand Forks, North Dakota, licensed in North Dakota (6323) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of University Of Connecticut School Of Medicine (1984).

NPPES Registry Identity

NPI1568526119
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameROBERT P STICCACredential: MD
Location Address501 N COLUMBIA RDGrand Forks, ND 58202-6094
Mailing AddressPo Box 6002Grand Forks, ND 58206-6002 · (701) 780-5000
Phone(701) 777-3067
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1984
Enumeration DateDecember 20, 2006
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1568526119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in ND · 6323
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
501 N COLUMBIA RD, Grand Forks, ND 58202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.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

Robert P Sticca 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 ID4385717354
PECOS Enrollment IDI20080724000069
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 9

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
31 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services23 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
17 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58202 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
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 5

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

ROGER W SCHAUER MD
Family Medicine
501 N COLUMBIA RD
GRAND FORKS, ND 58202
Grand Forks County (701) 777-0000
JOHN T MARTSOLF MD
Medical Genetics, Ph.D. Medical Genetics
501 N COLUMBIA RD
GRAND FORKS, ND 58202
Grand Forks County (701) 777-4276
DAVID R ANTONENKO MD
Surgery
501 N COLUMBIA RD
GRAND FORKS, ND 58202
Grand Forks County (701) 777-3067
JON W ALLEN MD
Internal Medicine
501 N COLUMBIA RD
GRAND FORKS, ND 58202
Grand Forks County (701) 777-3067
DR. THOMAS MICHAEL MOHR P.T.
Physical Therapist
501 N COLUMBIA RD, DEPT. OF PHYSICAL THERAPY, UNIV. OF NORTH DAKOTA
GRAND FORKS, ND 58202
Grand Forks County (701) 777-2831

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 Robert Sticca's NPI number?

The NPI number for Robert Sticca is 1568526119. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Robert Sticca located?

Robert Sticca practices at 501 N Columbia Rd, Grand Forks, ND 58202. The listed phone number is (701) 777-3067.

What is Robert Sticca's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Robert Sticca enrolled in Medicare?

Yes. Robert Sticca 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 Robert Sticca accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Robert Sticca 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 Robert Sticca affiliated with any hospitals?

According to CMS data, Robert Sticca is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Robert Sticca was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.