DR. SUZANNE T ICELY (M.D.) – Obstetrics & Gynecology Physician, NPI 1720063613

DR. SUZANNE T ICELY (M.D.) is a healthcare provider. based in St petersburg, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. ME0071624 (FL). The NPI Number for DR. SUZANNE T ICELY (M.D.) is 1720063613

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUZANNE T ICELY (M.D.)
NPI
1720063613
Phone
(727) 344-6060
Address
6450 38TH AVE N
Enumeration Date
13 December 2005
Last Update Date
22 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7277673051
Graduation Year
1994 (32 years ago)
PAC ID
4789711938
Group Practice PAC ID
0446387641
Professional Enrollment ID
I20100421000074
Address ID
FL337014804ST601XXSXXX416
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. SUZANNE T ICELY (M.D.)

  • 6450, 38th Avenue North, Saint Petersburg, Pinellas County, Florida, 33710, United States

    SUITE 200

    ST PETERSBURG, FL 337101645

    Phone: (727) 344-6060

    Fax: (727) 347-5586

    Type: Mailing

  • 5959 CENTRAL AVE STE 103

    ST PETERSBURG, FL 337108502

    Phone: (727) 767-6060

    Fax: (727) 767-1285

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Gynesonics, Inc. ($17).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-04-21

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
I20100421000074IObstetrics/GynecologyFLTBD

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 minutes8268$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination6464$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory5454$0
99212Established patient office or other outpatient visit, 10-19 minutes2114$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 33710)

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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: 0446387641View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YFL
Obstetrics/Gynecology, HospitalistFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Certified Nurse Midwife (Cnm)FL

Reviews

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Frequently asked questions

What is DR. SUZANNE T ICELY (M.D.)'s NPI number?
DR. SUZANNE T ICELY (M.D.)'s NPI is 1720063613 — the number used across U.S. healthcare to identify this provider.
Is DR. SUZANNE T ICELY (M.D.) shown as active in public data?
Registry records indicate DR. SUZANNE T ICELY (M.D.) maintains an active NPI.
What area of care is associated with DR. SUZANNE T ICELY (M.D.)?
DR. SUZANNE T ICELY (M.D.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUZANNE T ICELY (M.D.)?
Directory geography for DR. SUZANNE T ICELY (M.D.) centers on St Petersburg, Florida.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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