MR. SAMUEL DAVID LICATA MD
NPI 1710973870
Surgery in Steubenville, OH

Q: What is Samuel Licata's NPI number?

The NPI number for Samuel Licata is 1710973870. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Samuel Licata'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 Samuel Licata was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment

4000 JOHNSON RD, 2ND FLOOR, STEUBENVILLE, OH 43952(740) 266-5959(740) 266-5957 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Samuel David Licata Md NPPES

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

MR. SAMUEL DAVID LICATA MD (NPI 1710973870) is an individual surgery provider in Steubenville, Ohio, licensed in Ohio (35064482) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of West Virginia University School Of Medicine (1990).

NPPES Registry Identity

NPI1710973870

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMR. SAMUEL DAVID LICATACredential: MD

Location Address4000 JOHNSON RD, 2ND FLOORSteubenville, OH 43952-2364

Mailing Address380 Summit Ave, Mso Physician BillingSteubenville, OH 43952-2667 · (740) 283-7776 · Fax (740) 283-7807

Phone(740) 266-5959

Fax(740) 266-5957

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1990

Enumeration DateSeptember 23, 2005

Last NPPES UpdateDecember 11, 2025

NPPES CertifiedDecember 11, 2025

✔ NPI 1710973870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in OH · 35064482✔ Licensed in PA · MD048163L✔ Licensed in WV · 18107

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.

4000 JOHNSON RD, Steubenville, OH 43952

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Other Identifiers 3

Medicaid0188381OH

Medicaid0126291000WV

Medicaid0015319490002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mr. Samuel David Licata 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 ID7719984350

PECOS Enrollment IDI20130628000497

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 8

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

43 services36 patients

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.

27 services27 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.

21 services21 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.

21 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360211

Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43952 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

1 supplier12 claims12 services$7.12 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

2 suppliers18 claims74 services$4.92 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$5.50 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

2 suppliers18 claims300 services$2.38 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.

DR. JACK SCHNUR MD

Internal Medicine

4000 JOHNSON RD
STEUBENVILLE, OH 43952

Jefferson County (740) 264-8039

ANTHONY W. GIANNI PT

Physical Therapist

4000 JOHNSON RD
STEUBENVILLE, OH 43952

Jefferson County (740) 264-8687

DR. GRETCHEN ANN JESICK MD

Anesthesiology

4000 JOHNSON RD, ANESTHESIA DEPT
STEUBENVILLE, OH 43952

Jefferson County (740) 264-9610

SANGMO JE MD

Specialist/Technologist (Athletic Trainer)

4000 JOHNSON RD
STEUBENVILLE, OH 43952

Jefferson County (740) 264-8000

NATHAN EDWARD MONK MD

Student in an Organized Health Care Education/Training Program

4000 JOHNSON RD
STEUBENVILLE, OH 43952

Jefferson County (740) 264-8000

UNIVERSITY OF PITTSBURGH PHYSICIANS

Internal Medicine

4000 JOHNSON RD
STEUBENVILLE, OH 43952

Jefferson County (740) 264-8000

UPMC TRINITY

Rehabilitation Unit

4000 JOHNSON RD
STEUBENVILLE, OH 43952

Jefferson County (740) 264-8110

UPMC TRINITY

General Acute Care Hospital

4000 JOHNSON RD
STEUBENVILLE, OH 43952

Jefferson County (740) 264-8110

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 Samuel Licata's NPI number?

The NPI number for Samuel Licata is 1710973870. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Samuel Licata located?

Samuel Licata practices at 4000 Johnson Rd 2nd Floor, Steubenville, OH 43952. The listed phone number is (740) 266-5959.

What is Samuel Licata's specialty?

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

Is Samuel Licata enrolled in Medicare?

Yes. Samuel Licata 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 Samuel Licata accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 2 other insurers list Samuel Licata 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 Samuel Licata affiliated with any hospitals?

According to CMS data, Samuel Licata is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West.

When was this NPI record last updated?

The NPPES record for Samuel Licata was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.