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Active NPI 1033197694 Individual Practitioner Male Practitioner

Dr. Antonio M Licata , DO

Anesthesiology • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Antonio Licata, DO is a certified Anesthesiology practicing in Dayton, OH. With approximately 37 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 1989, Dr. Licata delivers high-quality medical care to the local community at 1 WYOMING ST.

Dr. Licata is affiliated with Phs Anesthesia Billing, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on anus and rectum, anesthesia for procedure for total knee joint replacement, injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Wyoming St
3 Fl / Anes. Dept

Dayton, OH 45409

Telephone 9372084380
Fax 9372083843
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Dayton, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +12.1 yrs vs City Avg
City Avg: 24.9 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
80 Specialists

Practicing in Dayton, OH (2153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Licata (37 Years) 37 Yrs
Dayton Specialty Average (24.9 Years) 24.9 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
00902 Anesthesia for procedure on anus and rectum
27 27 $1054.44 $80.24
01402 Anesthesia for procedure for total knee joint replacement
20 20 $1944.80 $142.04
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)
17 17 $910.00 $60.08
00910 Anesthesia for other procedure on urinary system through urethra
17 17 $804.47 $56.72
01214 Anesthesia for total hip replacement
16 16 $2167.75 $153.96
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope
14 14 $1407.71 $101.24
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back
13 13 $1456.00 $112.83
00914 Anesthesia for removal of prostate including use of an endoscope
13 13 $1691.00 $123.42
00400 Anesthesia for procedure on skin of arms, legs, or trunk
12 12 $1096.33 $76.65
64415 Injection of anesthetic agent, brachial (arm) nerve bundle
11 11 $1040.00 $66.24
00790 Anesthesia for procedure in upper abdomen including use of an endoscope
11 11 $1973.64 $170.60

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License OH 34.00512

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License OH 34005132

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0932138 (OH)

Hospital & Practice Group Affiliations

Phs Anesthesia Billing, Llc

200 Medical Ctr Dr, Middletown, OH 450055200

Phone: 5134242111

Practice Associates & Co-Workers

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

40 Associated Practitioners
Robert Sheeley , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023344264

Certified Registered Nurse Anesthetist

Cody Plapp , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023740412

Certified Registered Nurse Anesthetist

NPI 1033253315

Certified Registered Nurse Anesthetist

Dr. Nancy Kwon , MD

Anesthesiology

NPI 1063494961

Doctor of Medicine (M.D.)

Shelby Koetter

Nurse Anesthetist, Certified Registered

NPI 1093346512
Lori Kleinfelder , CRNA

Nurse Anesthetist, Certified Registered

NPI 1134424724

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2010

Registered at 1 WYOMING ST, 3 FL / ANES. DEPT, DAYTON, OH 45409 (Tel: 9372084380)

📍
Updated Business Mailing Address December 02, 2010

Registered at P.O. BOX 632317, CINCINNATI, OH 452632317 (Tel: 9372084380)

👤
Provider Name / Credentials Updated December 02, 2010

Recorded as ANTONIO LICATA, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2010

Anesthesiology (License #34.00512 in OH)

🟢
Initial NPI Registration & Enumeration January 04, 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: 1033197694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: December 02, 2010
Sole Proprietor: No

Mailing Address

P.o. Box 632317

Cincinnati, OH 452632317

Phone: 9372084380

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.