Active NPI 1912980087 Individual Practitioner Female Practitioner

Dr. Janice Fay Lalikos , MD

Surgery - Plastic and Reconstructive Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Janice Lalikos, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Worcester, MA. With approximately 38 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 1988, Dr. Lalikos delivers high-quality medical care to the local community at 281 LINCOLN ST.

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

Frequently performed procedures and clinical services include new patient outpatient office visit, 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

281 Lincoln St
Department Of Plastic Surgery

Worcester, MA 016052138

Telephone 5083345969

Fax 5083345752

Associated Practice Facility / Clinic

🏢 A Jerome Philbin M.d., P.c. Facility NPI 1659319143

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +3.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 34.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Worcester, MA (76 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lalikos (38 Years) 38 Yrs

Worcester Specialty Average (34.5 Years) 34.5 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$359.00	$82.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$178.00	$37.76
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$300.00	$67.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$178.00	$36.18
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$282.77	$67.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$359.00	$84.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$178.00	$36.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$359.00	$86.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$144.76	$37.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$214.00	$54.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$211.50	$53.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$142.60	$26.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$349.00	$79.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$199.00	$52.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	11	$140.00	$26.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$138.08	$26.08
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$199.00	$52.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$337.63	$78.46

Medical Specialties & State Licenses

CMS Verified: 2023-12-08

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MA 78664

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110057974A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

281 Lincoln St, Worcester, MA 016052138

Phone: 5083341000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. John Castle , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1033193289

Doctor of Medicine (M.D.)

Sarah Wyllie , PA-C

Physician Assistant

NPI 1174078059

Physician Assistant (Certified)

Dr. Douglas Rothkopf , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1578547600

Doctor of Medicine (M.D.)

Dr. Fadi Nukta , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1780720409

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2017

Registered at 281 LINCOLN ST, DEPARTMENT OF PLASTIC SURGERY, WORCESTER, MA 016052138 (Tel: 5083345969)

📍

Updated Business Mailing Address April 25, 2017

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated April 25, 2017

Recorded as JANICE LALIKOS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Surgery (License #78664 in MA)

✅

NPI Profile Active April 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2009

Registered at 281 LINCOLN ST, DEPARTMENT OF PLASTIC SURGERY, WORCESTER, MA 016052138 (Tel: 5083345969)

📍

Updated Business Mailing Address April 03, 2009

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated April 03, 2009

Recorded as JANICE LALIKOS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2009

Surgery (License #78664 in MA)

🟢

Initial NPI Registration & Enumeration November 22, 2005

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: 1912980087

Entity Type:

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

Enumeration Date: November 22, 2005

Last Update: December 08, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022410001

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.