DR. MICHAEL JOHN LICATA (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1780664961
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
369 PATHOLOGY in WA
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Provider Addresses for DR. MICHAEL JOHN LICATA (M.D.)
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
TACOMA, WA 984314240
Phone: (301) 962-9443
Type: Location
1945, East Day Island Boulevard West, University Place, Pierce County, Washington, 98466, United States
UNIVERSITY PLACE, WA 984661814
Phone: (301) 385-9809
Type: Mailing
300 PINELLAS ST
CLEARWATER, FL 337563804
Phone: (727) 734-6635
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Boston Scientific Corporation ($48).
Total Amount
$48
General + Research + Ownership
Payments
1
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $48 |
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: 2020-04-16
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 |
|---|---|---|---|---|
| I20200416000774 | I | Pathology | FL | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,553 | 710 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 1,455 | 236 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 386 | 275 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 155 | 135 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 147 | 113 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | FL | |
| - | GA | |
| P A T H O L O G Y | FL | |
| P A T H O L O G Y | NJ | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | FL | |
| P A T H O L O G Y | FL | |
| - | GA |
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