DR. JONATHAN ALBERT STICCA MD
NPI 1669854196
Surgery in Fargo, ND

Q: What is Jonathan Sticca's NPI number?

The NPI number for Jonathan Sticca is 1669854196. It was assigned to this individual provider in the NPPES registry on June 20, 2015.

Q: What is Jonathan Sticca's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Sticca was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 20, 2015PECOS Enrolled

5225 23RD AVE S, FARGO, ND 58104(701) 417-1333 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2020, May 13, 2020, Aug 20, 2019 and 2 more (5 updates tracked since 2018).

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About Dr. Jonathan Albert Sticca Md NPPES

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

DR. JONATHAN ALBERT STICCA MD (NPI 1669854196) is an individual surgery provider in Fargo, North Dakota, licensed in North Dakota (15165) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1669854196

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JONATHAN ALBERT STICCACredential: MD

Location Address5225 23RD AVE SFargo, ND 58104-7927

Mailing Address1301 North Columbia Road, Rm E270 Stop 9037Grand Forks, ND 58202-9037 · (701) 777-2636 · Fax (701) 777-3609

Phone(701) 417-1333

Sole ProprietorNo

Enumeration DateJune 20, 2015

Last NPPES UpdateAugust 4, 20235 updates tracked since enumeration

NPPES CertifiedAugust 4, 2023

✔ NPI 1669854196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in ND · 15165

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 15165 (ND), LL38351 (SC), 46141 (IA)

5225 23RD AVE S, Fargo, ND 58104

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Secondary Practice Locations 4

Location 13000 32nd Ave SFargo, ND 58103-6132 · Phone (701) 364-8900 · Fax (701) 364-4590

Location 22101 Elm St NFargo, ND 58102-2417 · Phone (701) 232-3241

Location 3801 Broadway NFargo, ND 58102-3641 · Phone (701) 234-2000

Location 41000 S Columbia RdGrand Forks, ND 58201-4032 · Phone (701) 780-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Albert Sticca Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$110.22 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.

DANIEL GREGORY FALVEY M.D.

Emergency Medicine