Doctor profile · Federal record
Dr. Samuel Licciardo, M.D.
Emergency Medicine Physician · Worcester, MA
- NPI 1992025894
- MIPS 100.0 / 100 · 2023
- 16 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
55 Lake Ave N, Department of Emergency Medicine
Worcester, MA 016550002
(508) 421-1400
fax (508) 421-1490 - Mailing address
-
Po Box 415348
Boston, MA 022415348
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- October 28, 2013
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- Massachusetts #253748
- Medicaid
- MA #110095480A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992025894. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
582
Distinct HCPCS
7
Medicare allowed
$83,570
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 338 | 327 | $176 | |
99284 |
Emergency department visit with moderate level of medical decision making | 58 | 58 | $119 | |
99291 |
Critical care, first 30-74 minutes | 50 | 50 | $214 | |
93308 |
Ultrasound of heart, follow-up | 47 | 47 | $25 | |
76604 |
Ultrasound scan of chest | 45 | 45 | $28 | |
76705 |
Limited ultrasound scan of abdomen | 24 | 24 | $29 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | 20 | $175 |
In context: peer comparison
Among 82 peers in Worcester Emergency Medicine Physician, average services per provider: 70. This provider delivers 8.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
73
Patients
73
Total drug cost
$2,759
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cefpodoxime Proxetil | Generic | 38 | 38 | $2,413 |
| Methocarbamol | Generic | 13 | 13 | $57 |
| Azithromycin | Generic | 11 | 11 | $31 |
| Cefuroxime (Cefuroxime Axetil) | Brand | 11 | 11 | $258 |
Frequently asked questions
What is Dr. Samuel Licciardo's medical specialty?
Dr. Samuel Licciardo practices Emergency Medicine Physician in Worcester, MA.
Where does Dr. Samuel Licciardo practice?
Dr. Samuel Licciardo practices at 55 Lake Ave N, Worcester, MA 016550002. Office phone: 5084211400.
What is Dr. Samuel Licciardo's NPI?
Dr. Samuel Licciardo's National Provider Identifier (NPI) is 1992025894, issued by NPPES.
What procedures does Dr. Samuel Licciardo commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.