Active NPI 1790951747 Individual Practitioner Male Practitioner

Dr. John Victor Tedesco , DO

Surgery - Plastic and Reconstructive Surgery • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Tedesco, DO is a certified Surgery - Plastic and Reconstructive Surgery practicing in Tulsa, OK. With approximately 22 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2004, Dr. Tedesco delivers high-quality medical care to the local community at 11911 S OXFORD AVE STE 200.

Dr. Tedesco accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11911 S Oxford Ave Ste 200

Tulsa, OK 741377778

Telephone 9189845063

Fax 9186000690

Associated Practice Facility / Clinic

🏢 Kimiko And Tedesco Llc Facility NPI 1396497319

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -4.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

16 Specialists

Practicing in Tulsa, OK (26 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tedesco (22 Years) 22 Yrs

Tulsa Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	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

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$697.78	$91.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4159 Affinity, per square centimeter	640	16	$1082.16	$719.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	48	$90.71	$53.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	67	$206.12	$107.48
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	58	14	$2634.24	$146.61
99213 Established patient office or other outpatient visit, typically 15 minutes	56	43	$131.07	$86.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$299.14	$157.31
17003 Destruction of precancer skin growth, 2-14 growths	49	20	$26.84	$6.08
17000 Destruction of skin growth	34	25	$562.74	$53.21
11042 Removal of skin and tissue, 20.0 sq cm or less	32	13	$394.50	$72.80
11104 Punch biopsy, first skin growth	32	30	$295.13	$120.02
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$983.24	$130.90
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$1022.31	$257.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$200.25	$124.53
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	12	11	$2627.08	$53.82

HCPCS Code & Description	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	37	29	$77.00	$43.27
99213 Established patient office or other outpatient visit, typically 15 minutes	30	21	$130.00	$72.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$193.00	$103.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$297.00	$159.71
11104 Punch biopsy, first skin growth	20	19	$291.00	$118.75
17000 Destruction of skin growth	14	11	$289.00	$60.07

HCPCS Code & Description	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	29	21	$77.00	$42.70
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$130.00	$70.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	14	$72.00	$38.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$193.00	$103.70
11104 Punch biopsy, first skin growth	18	18	$388.28	$116.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$297.00	$158.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$137.00	$69.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	33	$83.67	$37.78
99213 Established patient office or other outpatient visit, typically 15 minutes	57	39	$135.68	$68.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	26	$201.83	$94.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	31	$287.94	$131.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$202.71	$99.52
11100 Biopsy of single growth of skin and/or tissue	28	26	$205.71	$89.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$311.50	$154.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$80.37	$40.48
17000 Destruction of skin growth	13	12	$143.85	$59.23

Medical Specialties & State Licenses

CMS Verified: 2025-09-09

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OK 5170

A surgeon who specializes in plastic and reconstructive surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License 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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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 #5170 in OK)

📍

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)

✅

NPI Profile Active April 30, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 30, 2008

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

📍

Updated Business Mailing Address April 30, 2008

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

👤

Provider Name / Credentials Updated April 30, 2008

Recorded as JOHN TEDESCO, D.O.

🎓

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

Surgery (License #OS10091 in FL)

🟢

Initial NPI Registration & Enumeration April 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Update or Correct Profile

Mailing Address

11911 S Oxford Ave Ste 200

Tulsa, OK 741377778

Phone: 9189845063

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.