ERIK JAMES LICKTEIG (PA) – Physician Assistant, NPI 1346621885
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for ERIK JAMES LICKTEIG (PA)
804 SERVICE RD STE A109B
EAST LANSING, MI 488247015
Phone: (517) 267-2470
Type: Mailing
4660 S HAGADORN RD STE 600
EAST LANSING, MI 488235383
Phone: (517) 267-2470
Fax: (517) 884-8602
Type: Location
215B STATION ST
JACKSONVILLE, NC 285466304
Phone: (910) 577-2334
Fax: (910) 577-2363
Type: Mailing
39242 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 483101767
Phone: (586) 979-1750
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $731.
Total Amount is formed as General ($731) + Research ($0) + Ownership ($0) = $731.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($332).
Total Amount
$731
General + Research + Ownership
Payments
31
Total payment records
General Amount
$731
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $332 |
| Regeneron Healthcare Solutions, Inc. | $215 |
| Janssen Biotech, Inc. | $42 |
| UCB, Inc. | $28 |
| Novartis Pharmaceuticals Corporation | $26 |
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: 2022-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190710002261 | I | Physician Assistant | MI | TBD |
| I20221012002966 | I | Physician Assistant | NC | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 125 | 22 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 41 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 28 | 24 | $0 |
Insurance plans in this area (ZIP 48824)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| Interventional Radiology | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine, Geriatric Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hospitalist, Internal Medicine | MI |
Reviews
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