DR. STEFANI STEVANIJA TICA MD
NPI 1598285165
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO
About Dr. Stefani Stevanija Tica Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEFANI STEVANIJA TICA MD (NPI 1598285165) is an individual pediatric gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2020013471) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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. Stefani Stevanija Tica 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stefani Tica reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 628 clinicians in this Medicare group
Saint Louis, MO 63108
- Reassigned Medicare billing, Illinois enrollment
- 530 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Stefani Tica's NPI number?
The NPI number for Stefani Tica is 1598285165. It was assigned to this individual provider in the NPPES registry on June 23, 2017.
Where is Stefani Tica located?
Stefani Tica practices at 1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition, Saint Louis, MO 63110. The listed phone number is (314) 454-6173.
What is Stefani Tica's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Stefani Tica enrolled in Medicare?
Yes. Stefani Tica 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 Stefani Tica's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stefani Tica reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and Washington University Physicians In Illinois, Inc (Saint Louis, MO). 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 Stefani Tica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stefani Tica accept?
Health plans from Cox HealthPlans and UnitedHealthcare list Stefani Tica 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.
When was this NPI record last updated?
The NPPES record for Stefani Tica was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.