LARA JAUSSI (D.O.) – Family Medicine Physician, NPI 1124408471
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for LARA JAUSSI (D.O.)
740 HIGH ST
SUITE 4001
WILLIAMSPORT, PA 177013102
Phone: (570) 321-2345
Fax: (570) 321-2359
Type: Mailing
PO BOX 936857
SUITE 4001
ATLANTA, GA 311936857
Phone: (910) 662-1960
Fax: (910) 662-1969
Type: Mailing
1100 Grampian Blvd
Williamsport, PA 177011907
Phone: (570) 320-7680
Type: Location
109 SCOTTS HILL MEDICAL DR. STE 204
WILMINGTON, NC 28411
Phone: (910) 662-1960
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $863.
Total Amount is formed as General ($863) + Research ($0) + Ownership ($0) = $863.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($243).
Total Amount
$863
General + Research + Ownership
Payments
45
Total payment records
General Amount
$863
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $243 |
| Novo Nordisk Inc | $179 |
| Lilly USA, LLC | $123 |
| Phathom Pharmaceuticals, Inc. | $87 |
| PFIZER INC. | $80 |
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: 2025-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180726000640 | I | Family Practice | PA | TBD |
| I20251114000236 | I | Family Practice | NC | 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 |
|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 136 | 49 | $0 |
| 83036 | Hemoglobin a1c level | 80 | 36 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 79 | 39 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 56 | 45 | $0 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 39 | 25 | $0 |
Insurance plans in this area (ZIP 17701)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Family Practice | PA | |
| Nurse Practitioner | SC | |
| Clinical Social Worker | PA | |
| Clinical Social Worker | PA | |
| Sports Medicine, Family Practice | PA | |
| Clinical Social Worker | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| P S Y C H I A T R Y | PA |
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