PAUL LICATA
NPI 1790772002
Radiology - Vascular & Interventional Radiology in Lewisberry, PA
About Paul Licata NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL LICATA (NPI 1790772002) is an individual vascular & interventional radiology provider in Lewisberry, Pennsylvania, licensed in Pennsylvania (MD073064L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of New York University School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paul Licata 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.
Medicare Billing Reassignments
5Medicare enrollment records show Paul Licata reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewisberry, PA 17339
- Reassigned Medicare billing, Pennsylvania enrollment
- 69 clinicians in this Medicare group
Lancaster, PA 17601
- Reassigned Medicare billing, Pennsylvania enrollment
- 343 clinicians in this Medicare group
Richfield, PA 17086
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Geisinger Clinic
- 4,429 clinicians in this Medicare group
Muncy, PA 17756
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,405 clinicians in this Medicare group
Pittsburgh, PA 15235
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 81
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn State Health Holy Spirit Medical Center
Acute Care Hospitals · Camp Hill, PAUpmc Carlisle
Acute Care Hospitals · Carlisle, PAUpmc Pinnacle Hospitals
Acute Care Hospitals · Harrisburg, PAUpmc Memorial
Acute Care Hospitals · York, PAUpmc Hanover
Acute Care Hospitals · Hanover, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LEWISBERRY, PA 17339
LEWISBERRY, PA 17339
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 Paul Licata's NPI number?
The NPI number for Paul Licata is 1790772002. It was assigned to this individual provider in the NPPES registry on October 3, 2005.
Where is Paul Licata located?
Paul Licata practices at 629D Lowther Rd Suite 3950, Lewisberry, PA 17339. The listed phone number is (717) 932-5200.
What is Paul Licata's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Paul Licata enrolled in Medicare?
Yes. Paul 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.
Which organizations bill Medicare for Paul Licata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Licata reassigns Medicare benefits to 5 organizations: Quantum Imaging & Therapeutic Associates, Inc (Lewisberry, PA), Regional Gastroenterology Associates Of Lancaster, Ltd. (Lancaster, PA), Geisinger Clinc (Richfield, PA), Geisinger-Hm Joint Venture LLC (Muncy, PA) and University Of Pittsburgh Physicians (Pittsburgh, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Licata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Paul Licata affiliated with any hospitals?
According to CMS data, Paul Licata is affiliated with Penn State Health Holy Spirit Medical Center, Upmc Carlisle, Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.
When was this NPI record last updated?
The NPPES record for Paul Licata was last updated on May 24, 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.