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Larissa Wietlisbach

NPI 1982352597ActiveIndividual· Plastic Surgery· Chicago, IL

Plastic Surgery in Chicago, Illinois, licensed in IL, with an NPI issued in March 2022. Part D covered 28 prescriptions written in 2024, 75% of them generic. Polynovo North America LLC was the largest of 2 companies reporting payments in 2025, $274.94 in all, mostly food and beverage.

Overview

NPI1982352597
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 13, 2022
Last updated in NPPESAug 1, 2023
Certified by providerAug 1, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000X125082534IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Plastic and Reconstructive Surgery (IL)

Part D prescriptions in 2024

Prescriptions (claims)28 · 34 30-day fills
Patients11
Total drug cost$27,942
Generic share75% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$274.94 · 4 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Polynovo North America LLC$154.791
Depuy Synthes Sales Inc.$120.153

What the 2025 payments were for

  • Food and Beverage$274.94 · 4 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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