National Provider Identifier
Michael Licata, MD
Michael Licata, MD is listed in the NPPES registry with a primary specialty of Body Imaging Physician in Buffalo, NY and a listed phone number of (716) 649-9000.
Source: public NPPES record, last updated September 16, 2013. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1306814579
- Provider Type
- Individual
- Primary Specialty
- Body Imaging Physician
- Enumeration Date
- March 14, 2006
- Last Updated
- September 16, 2013
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2648
Phone: (716) 649-9000
Mailing Address
- 3040 Amsdell RD
- Hamburg, NY 14075-5835
Specialties
- Body Imaging Physician (2085B0100X)
- Diagnostic Radiology Physician (2085R0202X)
Browse Similar Providers
See more Body Imaging providers in Buffalo, NY.
Medicare Part B Activity
Reported 783 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Radiology providers in the Buffalo, NY metro area.
This provider is in the 19th percentile for Medicare service volume.
Lower volume than many peers.
Performs 71% fewer Medicare services than the peer median.
Higher than 29 of 151 peers.
- Activity Percentile
- 19.2%
- Rank by Services
- 122 of 151
- Total Services
- 783
- Est. Allowed Value
- $28,531.00
- Dataset Year
- 2023
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Peers are grouped by the broader Radiology classification rather than the exact subspecialty label shown elsewhere on the page.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Radiology across the Buffalo, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 31 to 64,237 total Medicare services.
Top Clinical Services
- 71045: X-ray of chest, 1 view
237 services | $2,008.47
- 70450: Ct scan head or brain without contrast
126 services | $4,823.47
- 74176: Ct scan of abdomen and pelvis without contrast
65 services | $5,238.79
- 74177: Ct scan of abdomen and pelvis with contrast
58 services | $4,882.09
- 71046: X-ray of chest, 2 views
38 services | $385.10
Full Record
- NPI
- 1306814579
- Entity Type
- Individual
- Last Name
- Licata
- First Name
- Michael
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 3040 Amsdell RD
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5835
- Mailing Country
- US
- Mailing Phone
- (716) 649-9000
- Mailing Fax
- (716) 649-9005
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2648
- Practice Country
- US
- Practice Phone
- (716) 649-9000
- Practice Fax
- (716) 649-9005
- Enumeration Date
- March 14, 2006
- Last Updated
- September 16, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Body Imaging Physician (2085B0100X), Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 00026372703 (NY, Univera Healthcare), 300080525 (NY, Rr Medicare), 040426000284 (NY, Fidelis Care Of New York), 113586FF (NY, Preferred Care), 1609206 (NY, Independent Health), 01528734 (NY), 000523460013 (NY, BCBS)