LARISSA ELGUDIN (MD) – Psychiatry Physician, NPI 1629004387
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,244 PSYCHIATRY in OH
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Provider Addresses for LARISSA ELGUDIN (MD)
23425, Commerce Park, Beachwood, Cuyahoga County, Ohio, 44122, United States
SUITE 104
BEACHWOOD, OH 441225844
Phone: (216) 831-2900
Fax: (216) 831-4306
Type: Mailing
Commerce Park, Beachwood, Cuyahoga County, Ohio, 44122, United States
BEACHWOOD, OH 441225848
Phone: (216) 831-2900
Fax: (216) 831-4306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 93 Open Payments records for all available years, with a total value of $2,380.
Total Amount is formed as General ($2,380) + Research ($0) + Ownership ($0) = $2,380.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($424).
Total Amount
$2,380
General + Research + Ownership
Payments
93
Total payment records
General Amount
$2,380
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $424 |
| Lundbeck LLC | $419 |
| Neurocrine BioSciences, Inc. | $314 |
| Otsuka America Pharmaceutical, Inc. | $223 |
| ITI, Inc. | $163 |
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: 2004-09-03
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 |
|---|---|---|---|---|
| I20040903000387 | I | Psychiatry | OH | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 106 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 17 | $0 |
Insurance plans in this area (ZIP 44122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Certified Clinical Nurse Specialist (Cns) | OH | |
| Nurse Practitioner | OH | |
| P S Y C H I A T R Y | OH | |
| P S Y C H I A T R Y | OH |
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