DR. STEFANI STEVANIJA TICA MD
NPI 1598285165
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS PL, DIV PED GASTRO, HEPATOLOGY AND NUTRITION, SAINT LOUIS, MO 63110(314) 454-6173(844) 231-8912 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Jun 28, 2024, Jun 23, 2021 and 3 more (6 updates tracked since 2017).

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

NPI1598285165
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. STEFANI STEVANIJA TICACredential: MD
Location Address1 CHILDRENS PL, DIV PED GASTRO, HEPATOLOGY AND NUTRITIONSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6173 · Fax (844) 231-8912
Fax(844) 231-8912
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateJune 23, 2017
Last NPPES UpdateMay 29, 20266 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1598285165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in MO · 2020013471
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 2020013471 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200061929MO

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.

PECOS PAC ID3476975301
PECOS Enrollment IDI20200623002939
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

2

Medicare 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.

Multi-Specialty
1 CHILDRENS PL
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 628 clinicians in this Medicare group
Multi-Specialty
4511 FOREST PARK AVE
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.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
Pediatrics
1 CHILDRENS PL, SUITE C
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.