npidexNPI registry + Medicare data

NERISSA LICUP, MD

Internal Medicine Physician · KINGSPORT, TN

Individual Active NPI 1720269731

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202477453$86,394$35,536$29,994
2022116327$69,778$32,908$21,918

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more93$119$92
36415Insertion of needle into vein for collection of blood sample45$9$9
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's35$16$12
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more33$85$66
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit23$122$122
G0008Administration of influenza virus vaccine23$30$30
90662Influenza vaccine split virus, preservative free22$82$82
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more15$206$163
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more14$169$131
G0009Administration of pneumococcal vaccine13$30$30
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use13$291$291

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Internal Medicine Physician207R00000X✓46416TN
Student in an Organized Health Care Education/Training Program390200000X——

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Internal Medicine Physician providers in Tennessee

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.