Dr. Jordan Licata, DO

  • Tullahoma, TN
  • Otolaryngologist
NPI1952795106PAC ID1254788912
Medicare patients, 2024
17
Part D claims, 2024
22
Hospital affiliations
1
Industry payments
$3,378
Medical groups
2
Practice address
1821 N Washington Street, Tullahoma, TN 37388
Practice phone
Call (931) 455-2005
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Center For Day Surgery

Surgery Center - Medicare-Certified · Tullahoma, Tennessee

See all 4 affiliations

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Dr. Jordan Licata is an otolaryngologist in Tullahoma, Tennessee

Dr. Licata practices at Center For Day Surgery in Tullahoma, Tennessee.

Dr. Licata's NPI, 1952795106, was assigned on March 26, 2015. Dr. Licata graduated from Philadelphia College of Osteopathic Medicine in 2023. Dr. Licata holds Tennessee license 5294.

NPI and contact details
Medicare PAC ID
1254788912
NPI enumeration date
March 26, 2015
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(931) 455-2005
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
29
Medical school graduation
2023

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Jordan Licata practices at Center for Day Surgery in Tullahoma, Tennessee

Dr. Licata's primary practice is Center for Day Surgery, at 1821 N Washington Street, Tullahoma, TN 37388. The practice phone is (931) 455-2005.

  • Center for Day Surgery
    1821 N Washington Street, Tullahoma, TN 37388Phone(931) 455-2005

Source: Dmand AI Affiliation Data

Dr. Jordan Licata is affiliated with 2 sites of care and 2 medical groups

Dr. Licata's primary practice is Center For Day Surgery in Tullahoma, Tennessee. Dr. Licata is also affiliated with Highpoint Health - Winchester with Ascension Saint Thomas. The medical group on file is Marvel Clinic. Dmand AI also links Dr. Licata to 1 more medical group, named with a free account.

See all 4 affiliations for Dr. Licata

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Jordan Licata's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Licata practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Center For Day SurgeryAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Jordan Licata is one of 171 otolaryngologists in Tennessee

Otolaryngology is Dr. Licata's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dmand AI has Dr. Licata's licenses on file in 2 states: Tennessee and Kentucky.

Specialties and state licenses

  • Otolaryngology, TennesseePrimaryLicense 5294 · taxonomy 207Y00000X
  • Kentucky licenseLicense 05799

Otolaryngologists near Dr. Licata

Counts of otolaryngologists with a Dmand AI profile, by place and practice. Each opens the list.

171otolaryngologists in Tennessee
2otolaryngologists in Tullahoma

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Jordan Licata treated 17 Medicare patients in 2024, average age 74

CMS counts 17 Medicare patients who saw Dr. Licata in 2024. 75% of them have high cholesterol, and 65% have high blood pressure. Their average risk score is 1.13, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Licata's median patient age at 27, with 59% women.

Medicare patients, 202417
Average age74
Average risk score1.13

Chronic conditions among Dr. Licata's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure65%

Share of Medicare patients with each condition. A patient can have several.

Dr. Licata's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 27

Patient panel by sex, all payers

  • Women59%
  • Men41%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Jordan Licata wrote 22 Medicare Part D claims in 2024

In 2024, Dr. Licata wrote 22 Medicare Part D claims. 100% of them were for generic drugs.

Part D claims, 202422

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Dr. Jordan Licata takes part in Medicare

Dr. Licata accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)

Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)

Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

For MedTech and pharma teams

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Dr. Jordan Licata received $3,378 in industry payments from 2022 to 2025

CMS Open Payments shows 30 general payments to Dr. Licata from 7 drug and device companies from 2022 to 2025. Travel and lodging make up the largest share, 61% of the total. Aerin Medical Inc. paid the most, $1,664.

General payments to Dr. Licata by program year, 2022 to 2025

General payments to Dr. Licata by kind, 2022 to 2025

$3.4Kin total
  • Travel and lodging$2,07261%
  • Food and beverage$1,30639%

Companies that paid Dr. Licata the most, 2022 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Licata

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Jordan Licata graduated from Philadelphia College of Osteopathic Medicine

Dr. Licata graduated from Philadelphia College of Osteopathic Medicine in 2023.

  1. Medical schoolPhiladelphia College of Osteopathic Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Jordan Licata's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Jordan Licata

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Jordan Licata's NPI number?

Dr. Jordan Licata's NPI number is 1952795106. It was assigned on March 26, 2015, and it is active in the NPI Registry.

What kind of doctor is Dr. Jordan Licata?

Dr. Jordan Licata is an otolaryngologist in Tullahoma, Tennessee. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).

Where does Dr. Jordan Licata practice?

Dr. Licata practices at 1821 N Washington Street, Tullahoma, TN 37388. Dr. Licata's primary practice is Center For Day Surgery in Tullahoma, Tennessee. Dmand AI also links Dr. Licata to 1 medical group.

What is Dr. Jordan Licata's office phone number?

The practice phone on file for Dr. Licata is (931) 455-2005.

What is Dr. Jordan Licata's medical license number?

Dr. Licata holds Tennessee license 5294, one of the licenses on file in 2 states.

Which states has Dr. Jordan Licata been licensed in?

Dmand AI has state licenses on file for Dr. Licata in Tennessee and Kentucky.

Which hospitals is Dr. Jordan Licata affiliated with?

Dr. Licata is affiliated with Highpoint Health - Winchester with Ascension Saint Thomas.

What medical group is Dr. Jordan Licata part of?

Dr. Licata is linked to Marvel Clinic. Dmand AI links Dr. Licata to 1 more medical group.

Does Dr. Jordan Licata accept Medicare?

Yes. CMS lists Dr. Licata as accepting Medicare assignment.

How many Medicare patients does Dr. Jordan Licata see?

CMS counts 17 Medicare patients who saw Dr. Licata in 2024, with an average age of 74.

Show 3 more questionsShow fewer questions

Where did Dr. Jordan Licata go to medical school?

Dr. Licata graduated from Philadelphia College of Osteopathic Medicine in 2023.

Has Dr. Jordan Licata received payments from drug or device companies?

CMS Open Payments shows $3,378 in general payments to Dr. Licata from 7 companies from 2022 to 2025. The largest total came from Aerin Medical Inc.

How long has Dr. Jordan Licata been practicing?

Dr. Licata graduated from medical school in 2023, 3 years ago.

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