Active NPI 1801086343 Individual Practitioner Male Practitioner

Dr. David J Licini , MD

Orthopaedic Surgery • Bloomington, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Licini, MD is a certified Orthopaedic Surgery practicing in Bloomington, IN. With approximately 19 years of clinical experience since graduating from Indiana University School Of Medicine in 2007, Dr. Licini delivers high-quality medical care to the local community at 1302 S ROGERS ST.

Dr. Licini maintains professional affiliations with Iu Health Medical Group Llc, Indiana University Health Southern Indiana Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, x-ray of hip, 2-3 views, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1302 S Rogers St

Bloomington, IN 474034752

Telephone 8123332663

Fax 8126764131

Associated Practice Facility / Clinic

🏢 Orthopedics Of South Central Indiana, Llc Facility NPI 1265850432

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bloomington, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.7 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Bloomington, IN (530 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Licini (19 Years) 19 Yrs

Bloomington Specialty Average (19.7 Years) 19.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	567	43	$7.00	$0.97
73502 X-ray of hip, 2-3 views	173	119	$229.33	$42.31
99213 Established patient office or other outpatient visit, typically 15 minutes	151	127	$127.00	$84.23
73562 X-ray of knee, 3 views	122	88	$239.63	$40.40
73564 X-ray of knee, 4 or more views	102	98	$255.11	$50.99
20610 Aspiration and/or injection of fluid from large joint	68	47	$205.00	$71.52
27447 Replacement of knee joint, both sides of knee	54	51	$5082.56	$1075.28
20985 Computer-assisted surgery for muscle and bone procedure	48	45	$333.00	$128.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$183.00	$119.03
27130 Replacement of thigh bone and hip joint with prosthesis	36	36	$4594.93	$946.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$88.00	$52.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$181.00	$103.02
73521 X-ray of both hips, 2 views	18	18	$236.00	$36.79
77002 Fluoroscopic guidance for needle placement	16	13	$73.00	$24.78
20610 Aspiration and/or injection of fluid from large joint	16	13	$170.00	$39.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	540	51	$6.00	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	167	149	$87.00	$83.59
73502 X-ray of hip, 2-3 views	136	99	$89.66	$42.61
73562 X-ray of knee, 3 views	108	87	$113.76	$39.02
73564 X-ray of knee, 4 or more views	89	84	$129.37	$53.73
20610 Aspiration and/or injection of fluid from large joint	81	58	$185.61	$61.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	61	$132.00	$117.19
27447 Replacement of knee joint, both sides of knee	55	51	$5818.43	$1091.38
20985 Computer-assisted surgery for muscle and bone procedure	51	47	$304.00	$130.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	43	$63.00	$52.36
27130 Replacement of thigh bone and hip joint with prosthesis	39	38	$7086.51	$916.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$139.00	$103.74
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	19	18	$4009.00	$1086.37
77002 Fluoroscopic guidance for needle placement	18	15	$176.00	$25.39
20610 Aspiration and/or injection of fluid from large joint	17	15	$167.00	$41.39
73521 X-ray of both hips, 2 views	14	14	$83.14	$37.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	926	99	$6.00	$1.12
73564 X-ray of knee, 4 or more views	165	155	$127.47	$53.67
73502 X-ray of hip, 2-3 views	142	108	$91.00	$43.24
20610 Aspiration and/or injection of fluid from large joint	141	110	$184.28	$65.06
73562 X-ray of knee, 3 views	125	101	$113.70	$39.16
99213 Established patient office or other outpatient visit, typically 15 minutes	115	104	$87.00	$84.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	93	$63.00	$52.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$139.00	$104.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	58	$132.00	$118.93
27447 Replacement of knee joint, both sides of knee	50	49	$5903.45	$1121.09
20985 Computer-assisted surgery for muscle and bone procedure	50	49	$304.00	$131.28
73501 X-ray of hip with pelvis, 1 view	23	21	$64.00	$30.53
73521 X-ray of both hips, 2 views	22	22	$85.00	$38.38
27130 Replacement of thigh bone and hip joint with prosthesis	22	21	$7745.27	$1048.43
20610 Aspiration and/or injection of fluid from large joint	15	15	$172.60	$43.40
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$4009.00	$1098.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$230.00	$156.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	838	76	$6.72	$1.26
20610 Aspiration and/or injection of fluid from large joint	153	101	$186.76	$67.05
99213 Established patient office or other outpatient visit, typically 15 minutes	139	124	$86.27	$85.57
73501 X-ray of hip with pelvis, 1 view	128	98	$63.67	$29.54
73564 X-ray of knee, 4 or more views	117	110	$136.38	$56.55
73562 X-ray of knee, 3 views	112	89	$120.65	$43.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$138.77	$105.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$132.00	$121.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$63.18	$50.93
27447 Replacement of knee joint, both sides of knee	31	30	$6128.52	$1142.86
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	29	11	$322.83	$137.02
73560 X-ray of knee, 1-2 views	27	15	$72.19	$32.83
20985 Computer-assisted surgery for muscle and bone procedure	27	27	$304.00	$135.22
77002 Fluoroscopic guidance for needle placement	23	20	$165.65	$26.40
20610 Aspiration and/or injection of fluid from large joint	21	21	$167.00	$43.88
73521 X-ray of both hips, 2 views	18	18	$85.00	$38.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$230.00	$158.52
27447 Replacement of knee joint, both sides of knee	16	15	$4840.39	$872.37
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$9808.12	$1211.39
73552 X-ray of thigh bone, minimum 2 views	15	11	$69.00	$32.67
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	15	15	$4214.33	$1113.56
73502 X-ray of hip, 2-3 views	14	12	$87.43	$43.17
20985 Computer-assisted surgery for muscle and bone procedure	12	12	$304.00	$135.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	649	75	$9.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	135	118	$86.00	$70.22
73501 X-ray of hip with pelvis, 1 view	118	87	$62.91	$28.27
20610 Aspiration and/or injection of fluid from large joint	95	83	$181.15	$63.72
73562 X-ray of knee, 3 views	89	69	$127.92	$43.20
73564 X-ray of knee, 4 or more views	88	84	$153.84	$50.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$138.00	$99.70
27447 Replacement of knee joint, both sides of knee	37	36	$6719.92	$1107.51
20985 Computer-assisted surgery for muscle and bone procedure	28	27	$304.00	$137.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$132.00	$99.97
20610 Aspiration and/or injection of fluid from large joint	23	17	$177.96	$46.49
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	21	21	$4779.00	$1126.15
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$13114.29	$1224.20
77002 Fluoroscopic guidance for needle placement	15	14	$176.00	$27.17
73521 X-ray of both hips, 2 views	14	13	$85.00	$37.01
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$62.73	$40.36
36415 Insertion of needle into vein for collection of blood sample	11	11	$12.00	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	936	80	$9.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	186	163	$78.66	$68.93
73501 X-ray of hip with pelvis, 1 view	162	94	$64.00	$28.50
73562 X-ray of knee, 3 views	136	111	$114.16	$38.20
20610 Aspiration and/or injection of fluid from large joint	136	93	$155.14	$64.21
73564 X-ray of knee, 4 or more views	93	90	$146.73	$48.11
20985 Computer-assisted surgery for muscle and bone procedure	65	63	$304.00	$135.98
27447 Replacement of knee joint, both sides of knee	65	63	$7935.83	$1279.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$133.36	$99.35
20610 Aspiration and/or injection of fluid from large joint	38	31	$195.11	$43.89
77002 Fluoroscopic guidance for needle placement	38	31	$176.00	$26.28
27130 Replacement of thigh bone and hip joint with prosthesis	36	34	$13391.35	$1217.12
73110 X-ray of wrist, minimum of 3 views	30	13	$100.17	$32.85
73552 X-ray of thigh bone, minimum 2 views	25	18	$69.00	$33.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$271.00	$191.49
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$4779.00	$1079.41
73502 X-ray of hip, 2-3 views	12	11	$80.67	$40.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$116.55	$102.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	948	83	$9.00	$1.79
73501 X-ray of hip with pelvis, 1 view	206	122	$64.00	$26.80
73562 X-ray of knee, 3 views	184	127	$122.00	$34.41
99213 Established patient office or other outpatient visit, typically 15 minutes	168	148	$83.00	$65.76
20610 Aspiration and/or injection of fluid from large joint	141	94	$234.67	$62.30
73564 X-ray of knee, 4 or more views	92	86	$140.00	$43.41
27447 Replacement of knee joint, both sides of knee	63	59	$7834.33	$1187.01
20985 Computer-assisted surgery for muscle and bone procedure	59	56	$304.00	$132.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$148.00	$96.13
73552 X-ray of thigh bone, minimum 2 views	45	26	$69.00	$29.50
27130 Replacement of thigh bone and hip joint with prosthesis	43	39	$12525.80	$1063.45
20610 Aspiration and/or injection of fluid from large joint	32	28	$210.47	$43.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$271.00	$186.74
77002 Fluoroscopic guidance for needle placement	28	26	$176.00	$26.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$148.00	$69.84
27245 Treatment of broken neck of thigh bone with bone implant	18	18	$5257.00	$1106.08
72170 X-ray of pelvis, 1-2 views	18	13	$122.00	$28.57
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$4849.28	$1043.14
73521 X-ray of both hips, 2 views	17	16	$85.00	$33.77
73630 X-ray of foot, minimum of 3 views	16	11	$111.00	$26.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	947	91	$9.00	$1.79
99213 Established patient office or other outpatient visit, typically 15 minutes	176	149	$83.00	$63.06
73501 X-ray of hip with pelvis, 1 view	174	127	$64.00	$25.23
73562 X-ray of knee, 3 views	161	124	$122.00	$33.44
20610 Aspiration and/or injection of fluid from large joint	138	106	$232.47	$59.74
73564 X-ray of knee, 4 or more views	106	104	$140.00	$43.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$148.00	$92.04
27447 Replacement of knee joint, both sides of knee	53	49	$7457.01	$1152.50
20985 Computer-assisted surgery for muscle and bone procedure	45	41	$304.00	$127.01
27130 Replacement of thigh bone and hip joint with prosthesis	29	27	$12955.06	$1049.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$271.00	$177.44
73552 X-ray of thigh bone, minimum 2 views	26	21	$69.00	$27.91
20610 Aspiration and/or injection of fluid from large joint	25	23	$201.00	$40.41
73610 X-ray of ankle, minimum of 3 views	24	12	$110.00	$27.90
77002 Fluoroscopic guidance for needle placement	23	21	$176.00	$24.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$148.00	$67.14
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$5257.00	$1058.92
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$4779.00	$1029.01
73521 X-ray of both hips, 2 views	15	15	$85.00	$31.63
73560 X-ray of knee, 1-2 views	15	12	$105.00	$27.89

Medical Specialties & State Licenses

CMS Verified: 2021-10-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IN 01071339A

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NUCC Taxonomy Code: 207XS0114X

State License IN 01071339A

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201119230 (IN)

Hospital & Practice Group Affiliations

Indiana University Health Southern Indiana Physicians Llc

707 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

727 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

2605 E Creeks Edge Dr, Bloomington, IN 474018368

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

2651 E Discovery Pkwy, Bloomington, IN 474089059

Phone: 8123539250

Indiana University Health Southern Indiana Physicians Llc

719 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Secondary Practice Locations

2605 E Creeks Edge Dr

Bloomington, IN 474018368

Phone: 8123552300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners

Dr. Brandon Hood , MD

Orthopaedic Surgery

NPI 1053759092

Doctor of Medicine (M.D.)

Laurie Allen , OTR CHT

Occupational Therapist

NPI 1063815389

OTRCHT

Perinjit Niehaus , PA-C

Physician Assistant - Surgical

NPI 1093170557

Physician Assistant (Certified)

Edward Getts , PT

Physical Therapist

NPI 1104571157

Physical Therapist

Dr. Caroline Funkhouser , PT, DPT

Physical Therapist

NPI 1114635612

Physical Therapist, Doctor of Physical Therapy

Dr. Jonathan Surdam , MD

Specialist

NPI 1124009287

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address October 27, 2021

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Orthopaedic Surgery (License #01071339A in IN)

✅

NPI Profile Active January 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2016

Registered at 1302 S ROGERS ST, BLOOMINGTON, IN 474034752 (Tel: 8123332663)

📍

Updated Business Mailing Address January 05, 2016

Registered at PO BOX 1329, BLOOMINGTON, IN 474021329

👤

Provider Name / Credentials Updated January 05, 2016

Recorded as DAVID LICINI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2016

Orthopaedic Surgery (License #01071339A in IN)

🟢

Initial NPI Registration & Enumeration July 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1801086343

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 31, 2007

Last Update: October 27, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

250 N Shadeland Ave

Indianapolis, IN 462194959

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.