Luis Ticona, M.D.
NPI 1255693305 · Internal Medicine Physician · Boston, MA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Ticona, M.D. is a Internal Medicine Physician provider in Boston, MA (NPI 1255693305).
Provider details
- NPI number
- 1255693305
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 251665 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
118 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 36 | $140 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 22 | $141 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 18 | $99 |
| Blood Test, Basic Group of Blood Chemicals (calcium, Total)80048 | 16 | $8 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 14 | $13 |
| Hemoglobin A1c Level83036 | 12 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 127 | 46 |
| Lisinopril | 96 | 35 |
| Amlodipine Besylate | 53 | 21 |
| Losartan Potassium | 48 | 15 |
| Gabapentin | 45 | 20 |
| Omeprazole | 45 | 14 |
| Hydrochlorothiazide | 39 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-14
- Last updated
- 2019-11-24
Frequently asked questions
- What is Luis Ticona's NPI number?
- Luis Ticona's National Provider Identifier (NPI) is 1255693305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Ticona's specialty?
- Luis Ticona is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Luis Ticona located?
- Luis Ticona's practice location on file with NPPES is 801 Massachusetts Ave, Boston, MA 02118-2605.
- What is Luis Ticona's phone number?
- The practice phone number listed in the NPPES registry for Luis Ticona is (617) 414-5951.
- Does Luis Ticona accept Medicare?
- Luis Ticona is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Ticona's NPI active?
- Yes — Luis Ticona's NPI (1255693305) is active in the NPPES registry as of the last update on 2019-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.