JOHN VICTOR TEDESCO (D.O.) – Plastic and Reconstructive Surgery Physician, NPI 1790951747
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,166 GENERAL SURGERY in FL
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Provider Addresses for JOHN VICTOR TEDESCO (D.O.)
4, Clark Bass Boulevard, McAlester, Pittsburg County, Oklahoma, 74501, United States
STE 204
MCALESTER, OK 745014285
Phone: (918) 421-6795
Type: Mailing
Indian Rocks Road, Largo, Pinellas County, Florida, 33774, United States
LARGO, FL 337741035
Phone: (727) 581-9474
Type: Location
11911 S OXFORD AVE STE 200
TULSA, OK 741377778
Phone: (918) 984-5063
Fax: (918) 600-0690
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $552.
Total Amount is formed as General ($552) + Research ($0) + Ownership ($0) = $552.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Becton, Dickinson and Company ($350).
Total Amount
$552
General + Research + Ownership
Payments
11
Total payment records
General Amount
$552
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $350 |
| Medtronic, Inc. | $74 |
| Smith+Nephew, Inc. | $38 |
| Kowa Pharmaceuticals America, Inc. | $32 |
| Organogenesis Inc. | $23 |
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: 2013-01-15
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 |
|---|---|---|---|---|
| I20130115000192 | I | General Surgery | OK | 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 |
|---|---|---|---|---|
| 11642 | Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 13 | 12 | $0 |
Insurance plans in this area (ZIP 74501)
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