Jacquelyn Larussa, M.D.
NPI 1093178360ActiveIndividual· Emergency Medicine· Grapevine, TX
Emergency Medicine (M.D.) in Grapevine, Texas, trained at Louisiana State University School of Medicine in Shreveport (class of 2016). 428 Medicare patients in 2024, $73,253 paid; nearly all of their 157 Part D prescriptions were generic (94%). Penumbra, Inc. reported $47.87 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1093178360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 3, 2016 |
| Last updated in NPPES | Aug 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | S0492 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 428 |
|---|---|
| Services billed | 748 across 21 procedure codes |
| Paid by Medicare | $73,253 |
Part D prescriptions in 2024
| Prescriptions (claims) | 157 · 163 30-day fills |
|---|---|
| Patients | 113 |
| Total drug cost | $1,241 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | Louisiana State University School of Medicine in Shreveport |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Emergency Medicine |
Medical group
- Century Integrated Partners, IncWaco, TX · 340 clinicians
Hospital affiliation
- Baylor Scott & White Medical Center GrapevineGrapevine, TX
Industry payments (Open Payments)
- 2024$47.87 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $47.87 | 1 |
What the 2024 payments were for
- Food and Beverage$47.87 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other emergency medicine physicians in Grapevine
- 1992094247
- 1285673483
- 1316384837
- 1790880672
- 1932265774
- 1093187817
- 1316295066
- 1770650483
- 1780621250
- 1194795955
- 1295879955
- 1649256421