SERRIE C LICO (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1790746790
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
333 THORACIC SURGERY in PA
Provider Addresses for SERRIE C LICO (MD)
205 GRANDVIEW AVE
SUITE 210
CAMP HILL, PA 170111708
Phone:
Type: Mailing
875 POPLAR CHURCH RD
SUITE 400
CAMP HILL, PA 170112203
Phone: (717) 975-0900
Fax: (717) 975-2724
Type: Location
801 S RANCHO DR STE E6
LAS VEGAS, NV 891063812
Phone: (702) 240-6482
Type: Mailing
8530 W SUNSET RD STE 110
LAS VEGAS, NV 891132244
Phone: (702) 240-6482
Type: Location
1330 Mercy Dr NW Ste 101
Canton, OH 447082624
Phone: (330) 588-4676
Fax: (330) 588-4677
Type: Location
1320 Mercy Dr NW
Canton, OH 447082614
Phone: (330) 489-1111
Type: Location
1320 MERCY DR NW
CANTON, OH 447082614
Phone: (330) 489-1000
Type: Mailing
1330 MERCY DR NW STE 101
CANTON, OH 447082624
Phone: (330) 588-4676
Fax: (330) 588-4677
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $2,623.
Total Amount is formed as General ($2,623) + Research ($0) + Ownership ($0) = $2,623.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ATRICURE, INC. ($1,546).
Total Amount
$2,623
General + Research + Ownership
Payments
42
Total payment records
General Amount
$2,623
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $1,546 |
| Abbott Laboratories | $256 |
| ABIOMED | $241 |
| Medtronic, Inc. | $158 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $119 |
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: 2025-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20080402000560 | I | Thoracic Surgery | PA | TBD |
| I20180117001318 | I | Thoracic Surgery | NJ | TBD |
| I20181015001198 | I | Thoracic Surgery | OH | TBD |
| I20250326001636 | I | Thoracic Surgery | NV | 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 | 17 | 17 | $0 |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 14 | 14 | $0 |
| 33508 | Harvest of vein using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 17011)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | PA | 33533 | Heart artery bypass to repair one artery | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | NV | |
| Thoracic Surgery | CA | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | NV | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | NV | |
| Cardiovascular Disease (Cardiology) | NV | |
| Nurse Practitioner | NV | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NV | |
| Cardiovascular Disease (Cardiology) | CA | |
| Cardiovascular Disease (Cardiology) | NV | |
| Cardiovascular Disease (Cardiology) | NV |
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