IndividualActiveAccepts Medicare

Cecil Litiema, NP-C

NPI 1609908243 · Family Nurse Practitioner · Fresno, CA

Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1609908243
Entity type: Individual
Primary specialty: Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NP-C
Sex: Male
Sole proprietor: No
License: 14147 (CA)

Specialties & taxonomies

Family Nurse PractitionerPrimary363LF0000XLicense 14147 (CA)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
19 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)25% of score
185 Medicare services, 2024 (ranked within specialty)
Open Payments transparency10% of score
Has Open Payments disclosures (2024)

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 .

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)
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232	59	$67
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223	43	$146
Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221	37	$70
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233	24	$101
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222	22	$111

Typical Medicare-allowed amounts for these services range $67–$146 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Metoprolol Succinate	275	123
Isosorbide Mononitratebrand: Isosorbide Mononitrate Er	239	107
Rosuvastatin Calcium	229	103
Atorvastatin Calcium	216	85
Amlodipine Besylate	210	93
Evolocumabbrand: Repatha Sureclick	201	58

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$624 across 19 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

1313 E Herndon Ave

203

Fresno, CA 93720-3306

Phone: (559) 439-6808

Fax: (559) 431-6747

Street-level locationGet directions

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Mailing address