JOSEPH R LICKTEIG (DPM) – Podiatrist, NPI 1982630422

JOSEPH R LICKTEIG (DPM) is a healthcare provider. based in Wichita, Kansas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 12-00126 (KS). The NPI Number for JOSEPH R LICKTEIG (DPM) is 1982630422

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH R LICKTEIG (DPM)
NPI
1982630422
Phone
(316) 686-2106
Address
758 S HILLSIDE ST
Enumeration Date
25 June 2006
Last Update Date
8 February 2016

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3166862106
Graduation Year
1974 (52 years ago)
PAC ID
0042257321
Professional Enrollment ID
I20050408000834
Address ID
KS672113020WI758XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

76 PODIATRY in KS

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Provider Addresses for JOSEPH R LICKTEIG (DPM)

  • 758, South Hillside Street, Mead Neighborhood, Wichita, Sedgwick County, Kansas, 67211, United States

    WICHITA, KS 672113020

    Phone: (316) 686-2106

    Fax: (316) 686-5974

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Kerecis Limited ($25).

Total Amount

$97

General + Research + Ownership

Payments

5

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

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: 2005-04-08

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
I20050408000834IPodiatryKSTBD

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
11720Removal of fingernails or toenails, 1-5 nails368173$0
11721Removal of fingernails or toenails, 6 or more nails236116$0
11719Trimming of fingernails or toenails18091$0
11055Removal of noncancer thickened skin growth, 1 growth14184$0
11056Removal of noncancer thickened skin growth, 2-4 growths12161$0
View full utilization report →

Insurance plans in this area (ZIP 67211)

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Provider's Procedures

JOSEPH R LICKTEIG (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYKS11720Removal of tissue from 1 to 5 finger or toe nails405248

Reviews

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Frequently asked questions

Does JOSEPH R LICKTEIG (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOSEPH R LICKTEIG (DPM) uses 1982630422.
Does CMS list JOSEPH R LICKTEIG (DPM) as active?
Yes — JOSEPH R LICKTEIG (DPM) is active in the NPI listing used on this page.
What healthcare role does JOSEPH R LICKTEIG (DPM) hold?
Scheduling teams often label JOSEPH R LICKTEIG (DPM) under Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect JOSEPH R LICKTEIG (DPM) on a map?
Expect Wichita, Kansas as a primary anchor for JOSEPH R LICKTEIG (DPM) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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