Brian Michael Licht, MD
NPI 1366903809ActiveIndividual· Anesthesiology· New York, NY
Anesthesiology (MD) in New York, New York, trained at Eastern Virginia Medical School (class of 2019). Medicare paid $6,495 for services to 36 patients in 2024.
Overview
| NPI | 1366903809 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 27, 2019 |
| Last updated in NPPES | Sep 24, 2024 |
| Certified by provider | Sep 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 332183 | NY |
| Anesthesiology | 207L00000X | A189924 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (CA); Practitioner - Anesthesiology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 38 across 22 procedure codes |
| Paid by Medicare | $6,495 |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Anesthesiology |
Medical group
- Maple Gate Anesthesiologists, P.C.Buffalo, NY · 116 clinicians
Hospital affiliation
- Kaleida HealthBuffalo, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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