Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831138189 Individual Practitioner Male Practitioner

Dr. Robert Licho , MD

Nuclear Medicine • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Licho, MD is a certified Nuclear Medicine practicing in Worcester, MA. With approximately 41 years of clinical experience since graduating from Albany Medical College Of Union University in 1985, Dr. Licho delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Licho is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include dxa bone density measurement of hip, pelvis, spine, interpretation of trabecular bone score (tbs) and report on fracture risk, exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083347237
Fax 7744418443
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nuclear Medicine in Worcester, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +5.5 yrs vs City Avg
City Avg: 35.5 Yrs
State Avg: 36.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Worcester, MA (29 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Licho (41 Years) 41 Yrs
Worcester Specialty Average (35.5 Years) 35.5 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
77080 Dxa bone density measurement of hip, pelvis, spine
2,893 2,892 $45.00 $9.36
77092 Interpretation of trabecular bone score (tbs) and report on fracture risk
2,654 2,654 $50.00 $9.80
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
436 435 $208.00 $20.77
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
436 435 $218.00 $13.71
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect
328 327 $361.00 $74.32
77081 Dxa bone density measurement of forearm, finger, hand, or foot
317 317 $48.00 $9.34
77080 Dxa bone density measurement of hip, pelvis, spine
270 270 $45.00 $9.28
77092 Interpretation of trabecular bone score (tbs) and report on fracture risk
234 234 $50.00 $9.71
78815 Nuclear medicine study from skull base to mid-thigh with ct scan
149 144 $447.00 $111.12
78306 Nuclear medicine study of bone and/or joint whole body
98 90 $201.00 $39.50
78451 Nuclear medicine study of vessels of heart using drugs or exercise single study
94 94 $305.00 $63.11
78814 Nuclear medicine study limited area with ct scan
61 61 $405.00 $99.85
78803 Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging
52 52 $257.00 $49.38
78830 Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging
52 52 $337.00 $66.12
78582 Nuclear medicine study of lung ventilation and circulation
49 48 $243.00 $49.45
78264 Stomach emptying study
35 35 $185.00 $35.59
78315 Nuclear medicine study of bone taken at different times
28 28 $239.00 $46.36
78226 Imaging of liver and bile duct system
27 27 $170.00 $34.39
78608 Nuclear medicine study brain with metabolic evaluation
23 23 $318.00 $67.72
77081 Dxa bone density measurement of forearm, finger, hand, or foot
23 23 $48.00 $9.29
78815 Nuclear medicine study from skull base to mid-thigh with ct scan
23 23 $447.00 $112.44
38792 Injection of radioactive material for x-ray identification of lymph node
19 18 $690.00 $31.27
78708 Nuclear medicine study of kidney, blood, flow, and function with drug administration
18 17 $274.00 $55.22
78072 Nuclear medicine study of parathyroid with spect and ct scan
17 17 $380.00 $72.38
78816 Nuclear medicine study whole body with ct scan
13 13 $458.00 $112.13
78195 Imaging of lymphatic tissue and lymph node
12 12 $264.00 $54.67
78014 Nuclear medicine imaging for thyroid uptake measurements
11 11 $116.00 $22.77

Medical Specialties & State Licenses

CMS Verified: 2021-06-07
Nuclear Medicine Primary Specialty

NUCC Taxonomy Code: 207U00000X

State License MA 72925

A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3067866 (MA)
Medicaid State Provider ID
110048901A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Secondary Practice Locations

157 Union St

Marlborough, MA 017521228

Phone: 5084865600

Practice Associates & Co-Workers

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

23 Associated Practitioners
Dr. Eric Schmidlin , MD

Radiology - Diagnostic Radiology

NPI 1073762779

Doctor of Medicine (M.D.)

Dr. Hesham Malik , MD

Radiology - Diagnostic Radiology

NPI 1194942011

Doctor of Medicine (M.D.)

Dr. Andrew Chen , MD

Radiology - Diagnostic Radiology

NPI 1235245663

Doctor of Medicine (M.D.)

Dr. Young Kim , MD

Radiology - Diagnostic Radiology

NPI 1245295518

Doctor of Medicine (M.D.)

Dr. Larry Zheng , MD

Radiology - Diagnostic Radiology

NPI 1275578999

Doctor of Medicine (M.D.)

Dr. Christopher Cerniglia , DO

Radiology - Diagnostic Radiology

NPI 1457459711

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 07, 2021

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083347237)

📍
Updated Business Mailing Address June 07, 2021

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 55 LAKE AVE N, DEPARTMENT OF NUCLEAR MEDICINE, WORCESTER, MA 016550002 (Tel: 5088564257)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 015450062 (Tel: 5083348815)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT LICHO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nuclear Medicine (License #72925 in MA)

🟢
Initial NPI Registration & Enumeration June 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831138189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2006
Last Update: June 07, 2021
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.