Octavio Licon, MD
NPI 1629057179ActiveIndividual· Orthopaedic Surgery· El Paso, TX
Orthopaedic Surgery (MD) in El Paso, Texas, licensed in TX and NM, with an NPI issued in January 2006.
Overview
| NPI | 1629057179 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jan 12, 2006 |
| Last updated in NPPES | Apr 6, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | F2773 | TX |
| Orthopaedic Surgery | 207X00000X | 86-269 | NM |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | F2773 | TX |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | 86-269 | NM |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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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