Doctor profile · Federal record

Dr. Wade Licup, MD

Family Medicine Physician (CMS: Family Practice) · Vista, CA

  • NPI 1881157998
  • Accepts Medicare
  • 7 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
130 Cedar RD
Vista, CA 920835102
(760) 806-5500
Additional location
333 Mercy Ave
Merced, CA 953408319
(209) 564-5000
Additional location
4560 Admiralty Way Ste 100
Marina del Rey, CA 902925424
(310) 827-3700
fax (310) 578-5379
Mailing address
10790 Rancho Bernardo RD
San Diego, CA 921275705

Credentials & registration

NPPES · NUCC
NPI registered
April 2019 — 7 yrs on file
Profile last updated
April 28, 2023
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
California #A179911

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1881157998. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
640
Distinct HCPCS
8
Medicare allowed
$88,118
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 287 167 $134
99215 Established patient office or other outpatient visit, 40-54 minutes 159 90 $190
99213 Established patient office or other outpatient visit, 20-29 minutes 87 86 $98
G0008 Administration of influenza virus vaccine 26 26 $33
90662 Influenza vaccine split virus, preservative free 25 25 $72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 25 25 $138
99204 New patient office or other outpatient visit, 45-59 minutes 18 18 $178
99203 New patient office or other outpatient visit, 30-44 minutes 13 13 $121

In context: peer comparison

Among 13 peers in this city , average services per provider: 73. This provider delivers 8.8× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$211
Transactions
9
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
GENZYME CORPORATION 4 $114.71
Lilly USA, LLC 2 $47.36
GlaxoSmithKline, LLC. 1 $16.78
CeQur Corporation 1 $16.50
Exact Sciences Corporation 1 $15.54

By nature of payment

Food and Beverage
$211

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,251
Patients
424
Total drug cost
$25,820
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 171 32 $5,084
Amlodipine Besylate Generic 136 54 $2,184
Atorvastatin Calcium Generic 109 54 $2,296
Losartan Potassium Generic 108 39 $2,105
Lorazepam Generic 89 19 $1,420
Furosemide Generic 75 34 $756
Gabapentin Generic 69 28 $2,164
Metformin Hcl Generic 69 25 $1,064
Lisinopril Generic 67 25 $1,383
Alprazolam Generic 65 18 $1,236

Frequently asked questions

Auto-generated from federal data
What is Dr. Wade Licup's medical specialty?
Dr. Wade Licup practices Family Medicine Physician in Vista, CA.
Where does Dr. Wade Licup practice?
Dr. Wade Licup practices at 130 Cedar RD, Vista, CA 920835102. Office phone: 7608065500.
What is Dr. Wade Licup's NPI?
Dr. Wade Licup's National Provider Identifier (NPI) is 1881157998, issued by NPPES.
Does Dr. Wade Licup accept Medicare assignment?
Yes. Dr. Wade Licup accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Wade Licup commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.