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KATY TICONA
NPI 1669867966
Internal Medicine - Hematology & Oncology in Brooklyn, NY

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
121 DEKALB AVE # 19C, BROOKLYN, NY 11201(718) 250-6946(718) 250-8120 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2021, Oct 20, 2020, Sep 23, 2020 (3 updates tracked since 2020).

About Katy Ticona NPPES

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

KATY TICONA (NPI 1669867966) is an individual hematology & oncology provider in Brooklyn, New York, licensed in West Virginia (29691) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Parkersburg, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669867966
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameKATY TICONA
Location Address121 DEKALB AVE # 19CBrooklyn, NY 11201-5425
Mailing Address121 Dekalb Ave # 19cBrooklyn, NY 11201-5425 · (718) 250-6946 · Fax (718) 250-8120
Phone(718) 250-6946
Fax(718) 250-8120
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2015
Last NPPES UpdateJanuary 11, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1669867966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in WV · 29691
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
121 DEKALB AVE # 19C, Brooklyn, NY 11201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1705 Garfield Ave Ste 220Parkersburg, WV 26101-5444 · Phone (304) 424-2606

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Katy Ticona 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 ID7113264656
PECOS Enrollment IDI20220412002872
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 4

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 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.
59 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MD HOSSIN MD
Internal Medicine
121 DEKALB AVE # 19C
BROOKLYN, NY 11201
Kings County (718) 250-8000
KYAW MYINT
Internal Medicine
121 DEKALB AVE # 19C
BROOKLYN, NY 11201
Kings County (718) 250-6946

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 Katy Ticona's NPI number?

The NPI number for Katy Ticona is 1669867966. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Katy Ticona located?

Katy Ticona practices at 121 Dekalb Ave # 19C, Brooklyn, NY 11201. The listed phone number is (718) 250-6946.

What is Katy Ticona's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Katy Ticona enrolled in Medicare?

Yes. Katy Ticona 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 Katy Ticona accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list Katy Ticona 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 Katy Ticona was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.