Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. John Victor Tedesco , DO

Surgery - Plastic and Reconstructive Surgery • Tulsa, OK

Active NPI 1790951747 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

11911 S Oxford Ave Ste 200
Tulsa, OK 741377778

Call 9189845063 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11911 S Oxford Ave Ste 200

Tulsa, OK 741377778

Telephone 9189845063
Fax 9186000690
Organization at the Same NPPES Address or Phone
Kimiko And Tedesco Llc Facility NPI 1396497319

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2004

Medicare patients

65 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $3,903 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $2,973 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

118 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$732 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $557.50 across 2 records.

By nature of payment

  • Consulting Fee: $525.25 across 1 record.
  • Food and Beverage: $32.25 across 1 record.

Reporting-company totals

  • ABBVIE INC.: $525.25 across 1 record.
  • VERTEX PHARMACEUTICALS INCORPORATED: $32.25 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

22 years (graduated 2004)

CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Tedesco has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Tedesco as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tulsa and Oklahoma

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Not enough clinicians listed under Surgery - Plastic and Reconstructive Surgery in Oklahoma have Medicare Part B data for 2024 to make a comparison.

Medicare-allowed amount

Not enough clinicians listed under Surgery - Plastic and Reconstructive Surgery in Oklahoma have Medicare Part B data for 2024 to make a comparison.

Paid by Medicare

Not enough clinicians listed under Surgery - Plastic and Reconstructive Surgery in Oklahoma have Medicare Part B data for 2024 to make a comparison.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Tulsa, OK (2024, 11 clinicians with data). Median for this group: 67. Middle half: 25 to 118.

More Part D prescriptions than 70% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Oklahoma (2024, 16 clinicians with data). Median for this group: 58. Middle half: 27 to 118.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Tulsa, OK (2024, 11 clinicians with data). Median for this group: $552. Middle half: $270 to $781.

A higher Part D drug cost than 70% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Oklahoma (2024, 16 clinicians with data). Median for this group: $446. Middle half: $271 to $757.

16 active clinicians are listed under Surgery - Plastic and Reconstructive Surgery with a practice address in Tulsa, OK (26 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tulsa

0% of these 16 clinicians have the CMS telehealth indicator.

37.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $557.50.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Consulting Fee
Cash or cash equivalent
— General $525.25
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $32.25

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
31 18 $145.79 $53.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $319.44 $106.29

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 67 277 $474.54 61
Diazepam Diazepam 20 21 $20.91 17
Cephalexin Cephalexin 17 115 $144.87 —
Ondansetron Odt Ondansetron 14 53 $91.81 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-09
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

License # reported to NPPES OK 5170

A surgeon who specializes in plastic and reconstructive surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES FL OS10091

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20130115000192

Enrollment State Jurisdiction

OK

PECOS Control ID

2567516974

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
📍
Updated Practice Location September 12, 2024

Registered at 11911 S OXFORD AVE STE 200, TULSA, OK 741377778 (Tel: 9189845063)

📍
Updated Business Mailing Address September 12, 2024

Registered at 11911 S OXFORD AVE STE 200, TULSA, OK 741377778 (Tel: 9189845063)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2024

Surgery (license number reported to NPPES: OK 5170)

📍
Updated Practice Location January 16, 2023

Registered at 5555 E 71ST ST STE 7255, TULSA, OK 741366542 (Tel: 9186000026)

📍
Updated Business Mailing Address January 16, 2023

Registered at 5555 E 71ST ST STE 7255, TULSA, OK 741366542 (Tel: 9186000026)

📍
Updated Business Mailing Address May 20, 2019

Registered at 4 E CLARK BASS BLVD, STE 204, MCALESTER, OK 745014285 (Tel: 9184216795)

âś…
NPI Profile Active April 30, 2008

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 30, 2008

Registered at 2025 INDIAN ROCKS RD S, LARGO, FL 337741035 (Tel: 7275819474)

📍
Business Mailing Address (Initial Record) April 30, 2008

Registered at 2025 INDIAN ROCKS RD S, LARGO, FL 337741035 (Tel: 7275819474)

👤
Provider Name / Credentials (Initial Record) April 30, 2008

Recorded as JOHN TEDESCO, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2008

Surgery (license number reported to NPPES: FL OS10091)

🟢
Initial NPI Registration & Enumeration April 30, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1790951747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2008
Last Update: September 09, 2025
Sole Proprietor: Yes

Other Surgery - Plastic and Reconstructive Surgery Specialists in Tulsa

All Surgery - Plastic and Reconstructive Surgery Specialists in Tulsa

Mailing Address

11911 S Oxford Ave Ste 200

Tulsa, OK 741377778

Phone: 9189845063

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.