Doctor profile · Federal record
Dr. Charles Licata, DO
Internal Medicine Physician · Bristol, CT
- NPI 1538172523
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
625 Clark Ave
Bristol, CT 060104068
(860) 583-7700
fax (860) 589-7656 - Mailing address
-
4 Farm Springs RD, Prohealth Physicians
Farmington, CT 060322573
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Connecticut #000359
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538172523. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,909
Distinct HCPCS
10
Medicare allowed
$146,294
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 507 | 278 | $137 | |
80053 |
Blood test, comprehensive group of blood chemicals | 368 | 220 | $10 | |
36415 |
Insertion of needle into vein for collection of blood sample | 359 | 203 | $8 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 335 | 204 | $13 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 273 | 199 | $8 | |
82550 |
Creatine kinase (cardiac enzyme) level, total | 250 | 157 | $6 | |
83036 |
Hemoglobin a1c level | 250 | 164 | $10 | |
84443 |
Blood test, thyroid stimulating hormone (tsh) | 214 | 165 | $16 | |
82306 |
Vitamin d-3 level | 151 | 105 | $29 | |
82607 |
Cyanocobalamin (vitamin b-12) level | 142 | 97 | $15 |
In context: peer comparison
Among 8 peers in Bristol Internal Medicine Physician, average services per provider: 100. This provider delivers 39× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
5,754
Patients
1,591
Total drug cost
$86,976
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Rosuvastatin Calcium | Generic | 802 | 232 | $16,783 |
| Atorvastatin Calcium | Generic | 740 | 207 | $8,547 |
| Levothyroxine Sodium | Generic | 590 | 144 | $10,092 |
| Amlodipine Besylate | Generic | 585 | 162 | $5,140 |
| Losartan Potassium | Generic | 391 | 107 | $5,741 |
| Lisinopril | Generic | 383 | 108 | $3,606 |
| Pravastatin Sodium | Generic | 339 | 92 | $6,013 |
| Metoprolol Succinate | Generic | 291 | 85 | $6,085 |
| Tamsulosin Hcl | Generic | 287 | 80 | $5,588 |
| Sertraline Hcl | Generic | 255 | 72 | $2,852 |
Frequently asked questions
What is Dr. Charles Licata's medical specialty?
Dr. Charles Licata practices Internal Medicine Physician in Bristol, CT.
Where does Dr. Charles Licata practice?
Dr. Charles Licata practices at 625 Clark Ave, Bristol, CT 060104068. Office phone: 8605837700.
What is Dr. Charles Licata's NPI?
Dr. Charles Licata's National Provider Identifier (NPI) is 1538172523, issued by NPPES.
What procedures does Dr. Charles Licata commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Blood test, comprehensive group of blood chemicals (HCPCS 80053); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.