Active NPI 1710973870 Individual Practitioner Male Practitioner

Dr. Samuel David Licata , MD

Surgery • Steubenville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Licata, MD is a certified Surgery practicing in Steubenville, OH. With approximately 36 years of clinical experience since graduating from West Virginia University School Of Medicine in 1990, Dr. Licata delivers high-quality medical care to the local community at 4000 JOHNSON RD.

Dr. Licata is affiliated with Trinity West and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4000 Johnson Rd
2nd Floor

Steubenville, OH 439522364

Telephone 7402665959

Fax 7402665957

Associated Practice Facility / Clinic

🏢 Ohio Valley Pathology Associates Inc Facility NPI 1285633230

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Steubenville, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +6.7 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

6 Specialists

Practicing in Steubenville, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Licata (36 Years) 36 Yrs

Steubenville Specialty Average (29.3 Years) 29.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	43	36	$155.00	$85.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$365.00	$208.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$210.00	$120.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$275.00	$150.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$185.00	$104.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$295.00	$169.10
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$950.00	$311.89
49650 Repair of groin hernia using an endoscope	13	13	$2228.00	$445.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$365.00	$210.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$275.00	$159.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$210.00	$121.99
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$155.00	$83.75
49650 Repair of groin hernia using an endoscope	24	24	$2228.00	$417.30
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$950.00	$320.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$185.00	$107.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	39	$155.00	$88.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$275.00	$163.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$210.00	$124.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$365.00	$209.67
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1013.00	$253.23
49650 Repair of groin hernia using an endoscope	13	13	$2228.00	$472.31
19301 Partial removal of breast	12	12	$1559.00	$668.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$295.00	$176.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$95.00	$54.92
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$950.00	$332.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	44	$152.67	$88.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$272.00	$162.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$207.74	$120.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$182.60	$110.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$361.70	$210.99
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$950.00	$336.73
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$30.00	$18.72
36590 Removal of peripheral venous catheter for infusion	13	13	$300.00	$190.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	52	$117.31	$72.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	47	$160.25	$105.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$236.58	$162.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$155.41	$105.84
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$950.00	$332.30
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$30.00	$18.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	63	$152.00	$105.75
99213 Established patient office or other outpatient visit, typically 15 minutes	61	57	$110.00	$72.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$226.00	$159.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	17	$72.00	$39.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	27	$201.00	$135.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$284.00	$202.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	23	$950.00	$334.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$157.50	$105.33
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	23	$30.00	$18.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$205.00	$142.05
49650 Repair of groin hernia using an endoscope	14	14	$2864.57	$479.54
47562 Removal of gallbladder using an endoscope	11	11	$2940.00	$668.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	71	$152.00	$102.97
99213 Established patient office or other outpatient visit, typically 15 minutes	74	68	$110.00	$70.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$284.00	$197.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	40	$205.00	$139.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$226.00	$159.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$201.00	$134.18
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	19	$950.00	$334.94
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$32.95	$18.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$152.00	$103.89
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	18	18	$158.00	$50.47
19302 Partial removal of breast and underarm lymph nodes	18	18	$2625.00	$892.14
49650 Repair of groin hernia using an endoscope	13	13	$2913.54	$450.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$68.00	$41.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	80	80	$284.00	$188.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	70	65	$205.00	$129.87
99213 Established patient office or other outpatient visit, typically 15 minutes	67	61	$110.00	$66.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	59	$152.00	$96.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$226.00	$150.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$68.00	$39.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	21	$201.00	$127.00
49650 Repair of groin hernia using an endoscope	21	21	$2758.48	$459.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$152.00	$98.12
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	15	15	$158.00	$48.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$72.00	$36.53
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$37.00	$16.92
47562 Removal of gallbladder using an endoscope	11	11	$2940.00	$620.76
19302 Partial removal of breast and underarm lymph nodes	11	11	$2625.00	$844.11

Medical Specialties & State Licenses

CMS Verified: 2025-12-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35064482

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD048163L

Surgery

NUCC Taxonomy Code: 208600000X

State License WV 18107

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0188381 (OH)

Medicaid State Provider ID

0126291000 (WV)

Medicaid State Provider ID

0015319490002 (PA)

Hospital & Practice Group Affiliations

Trinity West

4000 Johnson Rd, Steubenville, OH 439522364

Phone: 7402665960

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Shawna Grimm , DO

Surgery

NPI 1225285125

Doctor of Osteopathic Medicine (D.O.)

Dr. Rami Abraham , MD

Surgery

NPI 1396066569

Doctor of Medicine (M.D.)

Joyce Greco , APRN-CNP

Nurse Practitioner - Family

NPI 1467849919

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Jayapal Reddy , MD

Surgery

NPI 1679561351

Doctor of Medicine (M.D.)

Dr. Edward Picardi , MD, FACS

Surgery

NPI 1992886097

Doctor of Medicine (M.D.), FACS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2016

Registered at 4000 JOHNSON RD, 2ND FLOOR, STEUBENVILLE, OH 439522364 (Tel: 7402665959)

📍

Updated Business Mailing Address April 27, 2016

Registered at 380 SUMMIT AVE, MSO PHYSICIAN BILLING, STEUBENVILLE, OH 439522667 (Tel: 7402665959)

👤

Provider Name / Credentials Updated April 27, 2016

Recorded as SAMUEL LICATA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2016

Surgery (License #35064482 in OH)

🟢

Initial NPI Registration & Enumeration September 23, 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: 1710973870

Entity Type:

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

Enumeration Date: September 23, 2005

Last Update: December 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

380 Summit Ave, Mso Physician Billing

Steubenville, OH 439522667

Phone: 7402837776

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.