Active NPI 1033739271 Individual Practitioner Female Practitioner

Stefani Tica

Physician Assistant • Munster, IN

Professional Overview & Biography Verified Profile Summary

Stefani Tica is a registered healthcare professional specializing in Physician Assistant in Munster, IN. Practice services are available at 9200 CALUMET AVE # 203 under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9200 Calumet Ave # 203

Munster, IN 463212885

Telephone 2192284200

Associated Practice Facility / Clinic

🏢 Dermio Dermatology, Llc Facility NPI 1811402423

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Munster, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.1 Yrs

State Avg: 9.4 Yrs

Regional Practice Density

45 Specialists

Practicing in Munster, IN (2429 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
17003 Destruction of precancer skin growth, 2-14 growths	93	18	$12.37	$5.20
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$127.55	$71.74
17000 Destruction of skin growth	37	30	$94.23	$44.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$180.35	$99.04
17110 Destruction of up to 14 skin growths	21	20	$158.00	$86.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$234.07	$131.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$156.17	$87.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$79.14	$44.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	268	46	$10.69	$5.25
99213 Established patient office or other outpatient visit, typically 15 minutes	99	83	$127.49	$71.42
17000 Destruction of skin growth	78	60	$94.24	$36.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$180.44	$99.80
17110 Destruction of up to 14 skin growths	40	32	$159.24	$76.33
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	31	27	$170.99	$80.48
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	31	22	$141.84	$56.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$234.99	$127.79
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	15	$192.53	$91.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$157.47	$88.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$79.64	$44.49
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	15	12	$163.41	$76.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	294	54	$12.29	$5.36
17000 Destruction of skin growth	100	83	$117.47	$38.24
99213 Established patient office or other outpatient visit, typically 15 minutes	95	84	$131.12	$74.43
17110 Destruction of up to 14 skin growths	84	68	$180.92	$84.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	57	$188.20	$104.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$277.83	$139.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$167.15	$90.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$81.54	$46.08
11102 Tangential biopsy of single skin lesion	36	34	$208.58	$82.77
11103 Biopsy of related skin growth, each additional growth	28	17	$123.79	$46.43
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	18	$165.17	$72.43
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	16	$144.50	$55.12
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$102.78	$57.50
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	13	12	$173.63	$85.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	65	11	$25.00	$5.92
11103 Biopsy of related skin growth, each additional growth	63	17	$130.00	$48.71
11102 Tangential biopsy of single skin lesion	35	26	$230.00	$86.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$310.00	$147.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	15	$200.00	$117.08
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$135.00	$82.62
17000 Destruction of skin growth	15	14	$190.00	$34.25

Medical Specialties & State Licenses

CMS Verified: 2023-02-14

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Vivek Singam , MD

Dermatology

NPI 1134789985

Doctor of Medicine (M.D.)

Dr. Lauren Cerullo , MD

Dermatology

NPI 1144418914

Doctor of Medicine (M.D.)

Lauren Pircher , PA-C

Physician Assistant

NPI 1306678057

Physician Assistant (Certified)

Olivia Zaczyk , PA-C

Physician Assistant

NPI 1477254639

Physician Assistant (Certified)

Nicolia Christy , PA-C

Physician Assistant

NPI 1730803628

Physician Assistant (Certified)

Dr. Arman Soleymani , MD

Dermatology

NPI 1740203819

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location February 14, 2023

Registered at 9200 CALUMET AVE # 203, MUNSTER, IN 463212885 (Tel: 2192284200)

📍

Updated Business Mailing Address February 14, 2023

Registered at 9200 CALUMET AVE # 203, MUNSTER, IN 463212885 (Tel: 2192284200)

👤

Provider Name / Credentials Updated February 14, 2023

Recorded as STEFANI TICA

📍

Updated Practice Location July 11, 2021

Registered at 1600 N RANDALL RD STE 400, ELGIN, IL 601237805 (Tel: 8473818899)

📍

Updated Business Mailing Address July 11, 2021

Registered at 1600 N RANDALL RD STE 400, ELGIN, IL 601237805 (Tel: 8473818899)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2021

Physician Assistant

✅

NPI Profile Active April 17, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2020

Registered at 76 BELLECHASE CIR, SCHAUMBURG, IL 601736572 (Tel: 6302292480)

📍

Updated Business Mailing Address April 17, 2020

Registered at 76 BELLECHASE CIR, SCHAUMBURG, IL 601736572

👤

Provider Name / Credentials Updated April 17, 2020

Recorded as STEFANI MOMICH

🎓

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

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1033739271

Entity Type:

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

Enumeration Date: April 17, 2020

Last Update: February 14, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

9200 Calumet Ave # 203

Munster, IN 463212885

Phone: 2192284200

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.