DR. RAYMOND PAUL LICCINI (M.D.) – Interventional Cardiology Physician, NPI 1619969078

DR. RAYMOND PAUL LICCINI (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME68201 (FL). The NPI Number for DR. RAYMOND PAUL LICCINI (M.D.) is 1619969078

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAYMOND PAUL LICCINI (M.D.)
NPI
1619969078
Phone
(239) 936-2220
Address
12645 New Brittany Blvd
Enumeration Date
22 August 2005
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
2394680120
Graduation Year
1989 (37 years ago)
PAC ID
4082692546
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20090327000098
Address ID
FL341351877ES23450PTXX400

Contacts

Secure Messaging
rliccini6494@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

Provider Addresses for DR. RAYMOND PAUL LICCINI (M.D.)

  • 12645 New Brittany Blvd

    Bldg 15

    Fort Myers, FL 339073631

    Phone: (239) 936-2220

    Fax: (239) 936-2444

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-6410

    Fax: (239) 343-4014

    Type: Mailing

  • 16261 BASS RD STE 300

    FORT MYERS, FL 33908

    Phone: (239) 343-6410

    Fax: (239) 343-4014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2023-07-11 • Largest payer in this snapshot: CVRx, Inc. ($94).

Total Amount

$94

General + Research + Ownership

Payments

1

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CVRx, Inc.$94
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090327000098ICardiovascular Disease (Cardiology)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes673552$0
99214Established patient office or other outpatient visit, 30-39 minutes416325$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes217116$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days17764$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only158136$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

Can I cross-check DR. RAYMOND PAUL LICCINI (M.D.) using NPI 1619969078?
NPI 1619969078 belongs to DR. RAYMOND PAUL LICCINI (M.D.); compare other details if you need extra assurance.
Is DR. RAYMOND PAUL LICCINI (M.D.) shown as active in public data?
Registry records indicate DR. RAYMOND PAUL LICCINI (M.D.) maintains an active NPI.
What expertise is attributed to DR. RAYMOND PAUL LICCINI (M.D.)?
DR. RAYMOND PAUL LICCINI (M.D.)'s specialty line reads Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. RAYMOND PAUL LICCINI (M.D.) registered?
Use Fort Myers, Florida as the headline location for DR. RAYMOND PAUL LICCINI (M.D.) here.
Does DR. RAYMOND PAUL LICCINI (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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