LARA JANE PESAVENTO – Anesthesiology Physician, NPI 1073501235
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,446 ANESTHESIOLOGY in IN
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Provider Addresses for LARA JANE PESAVENTO
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
DEPT 118
INDIANAPOLIS, IN 462077232
Phone: (317) 567-2180
Fax: (317) 614-9655
Type: Mailing
Senate Boulevard, Meridian Highlands, Indianapolis, Marion, Indiana, 46202, United States
INDIANAPOLIS, IN 462021239
Phone: (317) 567-2180
Fax: (317) 614-9655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2007-02-27
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 |
|---|---|---|---|---|
| I20070227000516 | I | Anesthesiology | IN | 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 |
|---|---|---|---|---|
| 62322 | Injection of substance into lower spine canal | 62 | 61 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 45 | 42 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 42 | 41 | $0 |
| 01214 | Anesthesia for total hip replacement | 21 | 21 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 15 | 15 | $0 |
Insurance plans in this area (ZIP 46207)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | IN | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Anesthesiology, Pain Management | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN |
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