NPI Details
David J Licini, MD is an orthopaedic surgery in Bloomington, IN with 18 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. David J Licini, MD NPI is 1801086343. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007
The provider's business location address is:
1302 S ROGERS ST
BLOOMINGTON, IN
ZIP 47403-752
Phone: (812) 333-2663
Fax: (812) 676-4131
The NPI 1801086343 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- X-ray of knee, 4 or more views (HCPCS:73564)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- X-ray of knee, 3 views (HCPCS:73562)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Computer-assisted surgery for muscle and bone procedure (HCPCS:20985)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- X-ray of hip, 1 view (HCPCS:73501)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- X-ray of both hips, 2 views (HCPCS:73521)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
The enumeration date for this NPI number is 7/31/2007 and was last updated on 10/27/2021.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207XS0114X | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | 01071339A | INDIANA | No |
| 2 | 207X00000X | Orthopaedic Surgery | | 01071339A | INDIANA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 201119230 | MEDICAID | INDIANA | |
