ROBIN C TEDESCO (PA-C) – Surgical Physician Assistant, NPI 1609146778

ROBIN C TEDESCO (PA-C) is a healthcare provider. based in Hartford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ROBIN C TEDESCO (PA-C) is 1609146778

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ROBIN C TEDESCO (PA-C)
NPI
1609146778
Phone
(860) 714-5058
Address
1000 ASYLUM AVENUE
Enumeration Date
6 January 2012
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606484413
Graduation Year
2011 (15 years ago)
PAC ID
4789844275
Group Practice PAC ID
0244223956
Professional Enrollment ID
I20120320000742
Address ID
CT060745559SO2400XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:14State licenses:0Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for ROBIN C TEDESCO (PA-C)

  • 1000 ASYLUM AVENUE

    SUITE 2109A

    HARTFORD, CT 06105

    Phone: (860) 714-5058

    Fax: (860) 714-8311

    Type: Mailing

  • 114 WOODLAND STREET

    SICU DEPT

    HARTFORD, CT 06105

    Phone: (860) 714-4694

    Fax: (860) 714-8096

    Type: Location

  • 114 Woodland Street

    SICU Dept

    Hartford, CT 06105

    Phone: (860) 714-4694

    Fax: (860) 714-8096

    Type: Location

  • 2400 Tamarack Ave Ste 200

    South Windsor, CT 060745559

    Phone: (860) 242-8591

    Fax: (860) 242-2511

    Type: Location

  • 6 NORTHWESTERN DR STE 305

    BLOOMFIELD, CT 060023428

    Phone: (860) 242-8591

    Fax: (860) 242-2511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2023-06-22 • Largest payer in this snapshot: Axonics, Inc. ($70).

Total Amount

$84

General + Research + Ownership

Payments

3

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-22

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: 2012-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120320000742IPhysician AssistantCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3833$0
46221Removal of external hemorrhoids by rubber banding2721$0
99202New patient office or other outpatient visit, 15-29 minutes1919$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
46600Diagnostic exam of anus using an endoscope1412$0
View full utilization report →

Insurance plans in this area (ZIP 06105)

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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: 0244223956View full group profile
NameSpecialtyState
Physician AssistantCT
General SurgeryCT
-CT
Colorectal Surgery (Proctology), General SurgeryCT
Physician AssistantCT
Physician AssistantCT
-CT
Certified Clinical Nurse Specialist (Cns)CT
Colorectal Surgery (Proctology)CT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for ROBIN C TEDESCO (PA-C)?
The registry entry for ROBIN C TEDESCO (PA-C) shows NPI 1609146778.
Is ROBIN C TEDESCO (PA-C)'s NPI status active today?
Active status means ROBIN C TEDESCO (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say ROBIN C TEDESCO (PA-C) does?
Insurance directories may phrase it differently, but here ROBIN C TEDESCO (PA-C) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to ROBIN C TEDESCO (PA-C)?
ROBIN C TEDESCO (PA-C) shows a connection to Hartford, Connecticut in registry-derived data.
Who maintains ROBIN C TEDESCO (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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