DR. ANTHONY TEDESCO (DO) – Orthopaedic Surgery Physician, NPI 1275940371

DR. ANTHONY TEDESCO (DO) is a healthcare provider. based in San diego, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. DO-05615 (IA). The NPI Number for DR. ANTHONY TEDESCO (DO) is 1275940371

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY TEDESCO (DO)
NPI
1275940371
Phone
(619) 229-5018
Address
6719 ALVARADO RD STE 200
Enumeration Date
21 July 2014
Last Update Date
29 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6412367511
Graduation Year
2014 (12 years ago)
PAC ID
6507165222
Group Practice PAC ID
0446153662
Professional Enrollment ID
I20200710002230
Address ID
IA501121898GR210XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,346 ORTHOPEDIC SURGERY in OH

Provider Addresses for DR. ANTHONY TEDESCO (DO)

  • 6719 ALVARADO RD STE 200

    SAN DIEGO, CA 921205256

    Phone: (619) 229-5018

    Type: Mailing

  • 875 8TH ST. NE

    MASSILLON, OH 44646

    Phone: (330) 834-4785

    Type: Location

  • 202 4TH AVE STE 201

    GRINNELL, IA 501121898

    Phone: (515) 224-1414

    Fax: (515) 224-5140

    Type: Location

  • 210 4TH AVE

    GRINNELL, IA 501121898

    Phone: (515) 224-1414

    Fax: (515) 224-5140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $2,324.

Total Amount is formed as General ($2,324) + Research ($0) + Ownership ($0) = $2,324.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Arthrex, Inc. ($1,122).

Total Amount

$2,324

General + Research + Ownership

Payments

28

Total payment records

General Amount

$2,324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190819000853IOrthopedic SurgeryCATBD
I20200710002230IOrthopedic SurgeryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee1613$0
View full utilization report →

Insurance plans in this area (ZIP 92120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446153662View full group profile
NameSpecialtyState
Emergency MedicineIA
Physician AssistantIA
Emergency MedicineIA
-IA
Nurse PractitionerRI
Anesthesiology, Interventional Pain Management, Pain ManagementIA
-OH
Physician AssistantIA
-IA
Internal MedicineIA

Reviews

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Frequently asked questions

Does DR. ANTHONY TEDESCO (DO) have a public NPI I can cite?
Public records show DR. ANTHONY TEDESCO (DO) under NPI 1275940371.
Should I treat DR. ANTHONY TEDESCO (DO) as an active provider?
Patients and plans typically see DR. ANTHONY TEDESCO (DO) as active in the national extract.
Which specialty label fits DR. ANTHONY TEDESCO (DO)?
NPPES ties DR. ANTHONY TEDESCO (DO) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ANTHONY TEDESCO (DO)?
DR. ANTHONY TEDESCO (DO) is associated with San Diego, California in the same public data insurers reference.
Can I export DR. ANTHONY TEDESCO (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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