DR. AMY KATHLEEN LICIS (MD) – Neurology Physician, NPI 1992914352
Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
84 SLEEP MEDICINE in MO
Provider Addresses for DR. AMY KATHLEEN LICIS (MD)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-1408
Fax: (314) 747-4342
Type: Mailing
1600 S BRENTWOOD BLVD
DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO 631441320
Phone: (314) 362-1408
Fax: (314) 747-4342
Type: Location
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
CB 8111
SAINT LOUIS, MO 631101010
Phone: (314) 361-1408
Fax: (314) 454-2523
Type: Mailing
600, South Brentwood Boulevard, Clayton, Saint Louis County, Missouri, 63105, United States
STE 600
SAINT LOUIS, MO 631441334
Phone: (314) 362-4342
Fax: (314) 747-3813
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-06-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110624000393 | I | Sleep Medicine | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 34 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 26 | 21 | $0 |
Insurance plans in this area (ZIP 60674)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SLEEP MEDICINE | MO | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 32 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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