DR. RAMIRO ICAZA (M.D.) – Family Medicine Physician, NPI 1457463960
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for DR. RAMIRO ICAZA (M.D.)
430 West Independence Street
Jackson, MO 63755
Phone: (573) 243-0750
Fax: (573) 243-4700
Type: Location
430, West Independence Street, Jackson, Cape Girardeau County, Missouri, 63755, United States
JACKSON, MO 63755
Phone: (573) 243-0750
Fax: (813) 891-9066
Type: Mailing
Missouri Delta Medical Center, 1008, North Main Street, Sikeston, Scott County, Missouri, 63801, United States
SIKESTON, MO 63801
Phone: (573) 472-6001
Fax: (573) 472-6006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $693.
Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($168).
Total Amount
$693
General + Research + Ownership
Payments
22
Total payment records
General Amount
$693
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $168 |
| Lilly USA, LLC | $158 |
| Janssen Pharmaceuticals, Inc | $137 |
| Janssen Biotech, Inc. | $67 |
| Ironshore Pharmaceuticals Inc. | $28 |
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: 2010-10-26
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 |
|---|---|---|---|---|
| I20101026001419 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 15 | $0 |
Insurance plans in this area (ZIP 63755)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| D E R M A T O L O G Y | TX |
Reviews
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