JONATHAN TICKU M.D.
NPI 1922259589
Internal Medicine - Hematology & Oncology in La Crosse, WI

Q: What is Jonathan Ticku's NPI number?

The NPI number for Jonathan Ticku is 1922259589. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Q: What is Jonathan Ticku's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Ticku was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment

800 WEST AVE S, LA CROSSE, WI 54601(608) 785-0940 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 16, 2020, Dec 6, 2019, Oct 31, 2019 and 1 more (4 updates tracked since 2018).

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About Jonathan Ticku M.d. NPPES

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

JONATHAN TICKU M.D. (NPI 1922259589) is an individual hematology & oncology provider in La Crosse, Wisconsin, licensed in Wisconsin (61177) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1922259589

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameJONATHAN TICKUCredential: M.D.

Location Address800 WEST AVE SLa Crosse, WI 54601

Mailing Address200 1st St SwRochester, MN 55905-0001 · (608) 785-0940

Phone(608) 785-0940

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateOctober 1, 2008

Last NPPES UpdateOctober 27, 20214 updates tracked since enumeration

NPPES CertifiedOctober 27, 2021

✔ NPI 1922259589 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 WI · 61177

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 ListedInternal MedicineTaxonomy 207R00000X · License ME105784 (FL), 61177 (WI)

800 WEST AVE S, La Crosse, WI 54601

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Secondary Practice Location 1

Location 17350 Sandlake Commons Blvd, suite 1102Orlando, FL 32819-8040 · Phone (321) 843-5500 · Fax (321) 843-5550

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Security Health Plan.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

Jonathan Ticku M.d. 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 ID446407712

PECOS Enrollment IDI20131025000355

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 10

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.

248 services143 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.

219 services87 patients

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.

66 services52 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

36 services36 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.

34 services34 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

34 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520004

Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520070

Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County

Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521305

Location310 W Main StSparta, WI 54656 · Monroe County

Emergency services

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521314

Location1501 Thompson StBloomer, WI 54724 · Chippewa County

Emergency services

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521315

Location1222 E Woodland AveBarron, WI 54812 · Barron County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier14 claims14 services$19.02 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier13 claims13 services$12.72 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.

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Psychologist (Clinical)