Larissa A. Tedesco, PA-C
NPI 1467601401ActiveIndividual· Physician Assistant, Surgical· White Plains, NY
Physician Assistant, Surgical (PA-C) with Hartford Healthcare Medical Group Specialists PLLC and 1 other group, practicing in White Plains, New York. 37 Medicare patients in 2024, $3,002 paid; nearly all of their 97 Part D prescriptions were generic (98%). Davol Inc. reported $159.65 in payments in 2024, mostly food and beverage. Lists St Vincent's Medical Center as a hospital affiliation.
Overview
| NPI | 1467601401 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 15, 2008 |
| Last updated in NPPES | Aug 5, 2025 |
| Certified by provider | Aug 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 1688 | CT |
| Physician Assistant | 363A00000X | 010822-1 | NY |
| Physician Assistant | 363A00000X | 1688 | CT |
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 - Physician Assistant (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 40 across 19 procedure codes |
| Paid by Medicare | $3,002 |
Part D prescriptions in 2024
| Prescriptions (claims) | 97 · 97 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $1,391 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Hartford Healthcare Medical Group Specialists PLLCBridgeport, CT · 1,588 clinicians
- Connecticut Orthopaedic Specialists PCFairfield, CT · 180 clinicians
Hospital affiliation
- St Vincent's Medical CenterBridgeport, CT
Industry payments (Open Payments)
- 2024$159.65 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $159.65 | 1 |
What the 2024 payments were for
- Food and Beverage$159.65 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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