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KERIC LICKERMAN MD
NPI 1730716705
Emergency Medicine in Saint Louis, MO

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
3635 VISTA AVE, SAINT LOUIS, MO 63110(314) 268-7133(314) 577-8516 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Mar 26, 2020 (2 updates tracked since 2020).

About Keric Lickerman Md NPPES

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

KERIC LICKERMAN MD (NPI 1730716705) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2023026688) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730716705
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKERIC LICKERMANCredential: MD
Location Address3635 VISTA AVESaint Louis, MO 63110-2500
Mailing Address3635 Vista AveSaint Louis, MO 63110-2500 · (314) 268-7133
Phone(314) 268-7133
Fax(314) 577-8516
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1730716705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2023026688
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3635 VISTA AVE, Saint Louis, MO 63110
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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

Keric Lickerman 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 ID5890119960
PECOS Enrollment IDI20230720002583
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
307 services299 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
205 services198 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
155 services153 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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. CHRIS C.W. CHAN M.D.
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
STEVEN NGUYEN M.D.
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
DR. PUJAN H PATEL M.D. BS
Internal Medicine
3635 VISTA AVE, 7TH FLOOR DESLOGE TOWER
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8856
MICHAEL RYAN CAVALIER
Registered Nurse (Emergency)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8777
JANET LAQUET PHARMD
Pharmacist (Oncology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 257-8516
TENET HEALTHSYSTEM SL, INC.
General Acute Care Hospital
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
NECAT HAVLIOGLU MD
Pathology (Anatomic Pathology & Clinical Pathology)
3635 VISTA AVE, SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8475
DR. DANIEL KEVIN HOLT MD
Radiology (Diagnostic Radiology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 268-5783

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 Keric Lickerman's NPI number?

The NPI number for Keric Lickerman is 1730716705. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Keric Lickerman located?

Keric Lickerman practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 268-7133.

What is Keric Lickerman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Keric Lickerman enrolled in Medicare?

Yes. Keric Lickerman 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.

Is Keric Lickerman affiliated with any hospitals?

According to CMS data, Keric Lickerman is affiliated with Ssm Health Depaul Hospital St Louis and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Keric Lickerman was last updated on July 12, 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.