MARY ANN TESALONA (M.D.) – Family Medicine Physician, NPI 1396744967
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARY ANN TESALONA (M.D.)
32845, Radio Road, Leesburg, Lake County, Florida, 34788, United States
STE. 101
LEESBURG, FL 347883977
Phone: (352) 315-1161
Fax: (352) 315-8438
Type: Location
2146 VINDALE RD
TAVARES, FL 327785602
Phone: (352) 742-1715
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $362.
Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.
Last reported payment date: 2024-02-12 • Largest payer in this snapshot: Boston Scientific Corporation ($168).
Total Amount
$362
General + Research + Ownership
Payments
6
Total payment records
General Amount
$362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $168 |
| Bayer Healthcare Pharmaceuticals Inc. | $131 |
| ABBVIE INC. | $25 |
| Lilly USA, LLC | $23 |
| Exact Sciences Corporation | $15 |
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: 2008-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080408000826 | I | Family Practice | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 377 | 199 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 339 | 197 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 252 | 252 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 251 | 251 | $0 |
| 99497 | Advance care planning, first 30 minutes | 132 | 132 | $0 |
Insurance plans in this area (ZIP 34788)
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