Jordan Licata, DO
NPI 1952795106ActiveIndividual· Otolaryngology· Tullahoma, TN
Otolaryngology (DO) in Tullahoma, Tennessee, trained at Philadelphia College of Osteopathic Medicine (class of 2023). Mostly services rather than prescriptions: Medicare paid $23,581 for 17 patients in 2024, with only 22 Part D claims. Aerin Medical Inc. was the largest of 4 companies reporting payments in 2025, $1,531 in all, mostly travel and lodging.
Overview
| NPI | 1952795106 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 26, 2015 |
| Last updated in NPPES | Dec 12, 2024 |
| Certified by provider | Dec 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 5294 | TN |
| Otolaryngology | 207Y00000X | 05799 | KY |
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 - Otolaryngology (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 24 across 15 procedure codes |
| Paid by Medicare | $23,581 |
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 23 30-day fills |
|---|---|
| Total drug cost | $312.59 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Philadelphia College of Osteopathic Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Otolaryngology |
Medical group
- Marvel Clinic P.C.Tullahoma, TN · 6 clinicians
Industry payments (Open Payments)
- 2025$1,531 · 14 payments from 4 companies
- 2024$1,834 · 15 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Aerin Medical Inc. | $1,457 | 10 |
| Abbvie Inc. | $33.15 | 2 |
| Neurent Medical Limited | $23.04 | 1 |
| Inspire Medical Systems, Inc. | $17.72 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,037 · 3 payments
- Food and Beverage$494.54 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other otolaryngologists in Tullahoma
- 1740285063