DR. MATTHEW LICAUSE (MD) – Family Medicine Physician, NPI 1205890019
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MATTHEW LICAUSE (MD)
3031 MIDVALE RD NW
CANTON, OH 447183237
Phone: (330) 499-5600
Type: Mailing
Whipple Avenue Northwest, Harter Heights, Canton, Stark County, Ohio, 44720, United States
NORTH CANTON, OH 447207340
Phone: (330) 499-5600
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 $395.
Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.
Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Lilly USA, LLC ($92).
Total Amount
$395
General + Research + Ownership
Payments
22
Total payment records
General Amount
$395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-05
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 | 158 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 98 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 97 | 97 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 37 | 37 | $0 |
| G0008 | Administration of influenza virus vaccine | 37 | 37 | $0 |
Insurance plans in this area (ZIP 44718)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 85610 | Blood test, clotting time | 147 | 28 |
| FAMILY MEDICINE | OH | 90670 | Pneumococcal vaccine for injection into muscle | 24 | 24 |
| FAMILY MEDICINE | OH | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| - | OH | |
| Family Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH |
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