MR. SAMUEL DAVID LICATA (MD) – Surgery Physician, NPI 1710973870
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,601 GENERAL SURGERY in OH
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Provider Addresses for MR. SAMUEL DAVID LICATA (MD)
Trinity Medical Center East, 380, Summit Avenue, Lawson - Ross Park Historic District, Pleasant Heights, Steubenville, Jefferson County, Ohio, 43952, United States
MSO PHYSICIAN BILLING
STEUBENVILLE, OH 439522667
Phone: (740) 283-7776
Fax: (740) 283-7807
Type: Mailing
Trinity Medical Center West, 4000, Johnson Road, Braybarton Boulevard Historic District, Glendwell, Steubenville, Jefferson County, Ohio, 43952, United States
2ND FLOOR
STEUBENVILLE, OH 439522364
Phone: (740) 266-5959
Fax: (740) 266-5957
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,551.
Total Amount is formed as General ($1,551) + Research ($0) + Ownership ($0) = $1,551.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($894).
Total Amount
$1,551
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,551
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-28
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 |
|---|---|---|---|---|
| I20130628000497 | I | General Surgery | OH | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 34 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 28 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 24 | 24 | $0 |
Insurance plans in this area (ZIP 43952)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | OH | |
| Internal Medicine | OH | |
| Qualified Audiologist | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Orthopedic Surgery | OH | |
| Nurse Practitioner | OH |
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