LARISSA A. TEDESCO (PA-C) – Surgical Physician Assistant, NPI 1467601401
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for LARISSA A. TEDESCO (PA-C)
Daniel T Banks Health Science Library, 2800, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States
BRIDGEPORT, CT 066064201
Phone: (203) 268-2882
Fax: (203) 452-3099
Type: Mailing
888 White Plains Rd Ste 105
Trumbull, CT 066114552
Phone: (203) 268-2882
Fax: (203) 672-0840
Type: Location
2408 WHITNEY AVE
HAMDEN, CT 065183209
Phone: (203) 626-0160
Fax: (203) 294-6734
Type: Mailing
222, Westchester Avenue, White Plains, New York, 10601, United States
SUITE 102
WHITE PLAINS, NY 106042906
Phone: (914) 946-1010
Fax: (914) 946-1025
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Davol Inc. ($160).
Total Amount
$160
General + Research + Ownership
Payments
1
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $160 |
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: 2005-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051027000845 | I | Physician Assistant | CT | TBD |
| I20051215000430 | I | Physician Assistant | NY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | CT |
Reviews
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