Doctor profile · Federal record
Dr. LARISSA TEDESCO, PA-C
Surgical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · Physician Assistant · Physician Assistant · WHITE PLAINS, NY
- NPI 1467601401
- Accepts Medicare
- MIPS 82.2 / 100 · 2023
- 21 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
222 WESTCHESTER AVE, SUITE 102
WHITE PLAINS, NY 106042906
(914) 946-1010
fax (914) 946-1025 - Additional location
-
888 White Plains Rd Ste 105
Trumbull, CT 066114552
(203) 268-2882
fax (203) 672-0840 - Mailing address
-
2408 WHITNEY AVE
HAMDEN, CT 065183209
Credentials & registration
- NPI registered
- September 2008 — 18 yrs on file
- Profile last updated
- August 5, 2025
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Connecticut #1688 · New York #010822-1
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467601401. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$160
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Davol Inc. | 1 | $159.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
56
Patients
56
Total drug cost
$436
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 28 | 28 | $335 |
| Famotidine | Generic | 16 | 16 | $34 |
| Methocarbamol | Generic | 12 | 12 | $67 |