Paul Licata
NPI 1790772002ActiveIndividual· Radiology, Vascular & Interventional Radiology· Lewisberry, PA
Radiology, Vascular & Interventional Radiology in Lewisberry, Pennsylvania, trained at New York University School of Medicine (class of 1996). Medicare paid $196,419 for services to 4,747 patients in 2024.
Overview
| NPI | 1790772002 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 3, 2005 |
| Last updated in NPPES | May 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | MD073064L | PA |
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 - Diagnostic Radiology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 4,747 |
|---|---|
| Services billed | 6,812 across 181 procedure codes |
| Paid by Medicare | $196,419 |
Education and affiliations
| Medical school | New York University School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Diagnostic Radiology |
| Secondary specialties | Interventional Radiology |
Medical group
- Quantum Imaging and Therapeutic Associates IncSan Juan, PR · 91 clinicians
Hospital affiliations
- Penn State Health Holy Spirit Medical CenterCamp Hill, PA
- Upmc CarlisleCarlisle, PA
- Upmc HanoverHanover, PA
- Upmc MemorialYork, PA
- Upmc Pinnacle HospitalsHarrisburg, PA
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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