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AMANDA KLICS PA
NPI 1760907125
Physician Assistant in Smithtown, NY

Active since August 07, 2017PECOS EnrolledAccepts Medicare Assignment
85.89/100
CMS Quality Rating
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787(631) 543-1440 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2022, Apr 20, 2021, May 8, 2020 and 1 more (4 updates tracked since 2017).

About Amanda Klics Pa NPPES

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

AMANDA KLICS PA (NPI 1760907125) is an individual physician assistant in Smithtown, New York, licensed in New York (021145) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760907125
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA KLICSCredential: PA
Location Address994 W JERICHO TPKE STE 104Smithtown, NY 11787-3211
Mailing Address994 W Jericho Tpke Ste 104Smithtown, NY 11787-3211 · (631) 543-1440
Phone(631) 543-1440
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 7, 2017
Last NPPES UpdateMarch 14, 20244 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1760907125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 021145
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
994 W JERICHO TPKE STE 104, Smithtown, NY 11787
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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

Amanda Klics Pa 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 ID5092060863
PECOS Enrollment IDI20180619001801
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 11787 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

85.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost52.98

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.

MR. KIRBY BENNETT TURNER PA-S
Physician Assistant (Surgical)
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440
CHRISTINA DECOSTA NP
Nurse Practitioner (Adult Health)
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440
DR. THOMAS YARROBINO FNP, DPT
Nurse Practitioner (Family)
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440
DR. CARLOS C MARRERO PRATS M.D.
Anesthesiology (Pain Medicine)
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440
CAROLINE GRACE GARRETSON
Physician Assistant
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440
CHRISTOPHER AMEN DO
Physical Medicine & Rehabilitation
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440
MARIYAM WASAY DO
Physical Medicine & Rehabilitation
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440
YASEEN KARIM M.D.
Anesthesiology
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787
Suffolk County (631) 543-1440

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 Amanda Klics's NPI number?

The NPI number for Amanda Klics is 1760907125. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is Amanda Klics located?

Amanda Klics practices at 994 W Jericho Tpke Ste 104, Smithtown, NY 11787. The listed phone number is (631) 543-1440.

What is Amanda Klics's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Klics enrolled in Medicare?

Yes. Amanda Klics 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.

When was this NPI record last updated?

The NPPES record for Amanda Klics was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.