DR. LARISSA SARAH BUCCOLO M.D.
NPI 1598747925
Family Medicine in Jacksonville, FL

Q: What is Larissa Buccolo's NPI number?

The NPI number for Larissa Buccolo is 1598747925. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Larissa Buccolo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Buccolo was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

820 PRUDENTIAL DR, STE 713, JACKSONVILLE, FL 32207(904) 396-5682(904) 346-0864 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Larissa Sarah Buccolo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARISSA SARAH BUCCOLO M.D. (NPI 1598747925) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME103556) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Emory University School Of Medicine (2002).

NPPES Registry Identity

NPI1598747925

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LARISSA SARAH BUCCOLOCredential: M.D.

Location Address820 PRUDENTIAL DR, STE 713Jacksonville, FL 32207-8210

Mailing Address820 Prudential Dr Ste 713Jacksonville, FL 32207-8209 · (904) 396-5682 · Fax (904) 346-0864

Phone(904) 396-5682

Fax(904) 346-0864

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2002

Enumeration DateNovember 21, 2005

Last NPPES UpdateNovember 5, 2025

NPPES CertifiedNovember 5, 2025

✔ NPI 1598747925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME103556

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

820 PRUDENTIAL DR, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Larissa Sarah Buccolo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739362948

PECOS Enrollment IDI20110325000411

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

52 services52 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

52 services52 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMAD ALASAD TOLAYMAT M.D.

Pediatrics (Pediatric Nephrology)

820 PRUDENTIAL DR, UFJP PEDIATRIC MULTI-SPECIALTY CLINIC
JACKSONVILLE, FL 32207

Duval County (904) 633-0920

SARAH VICTORIA BRINKLEY RN

Registered Nurse

820 PRUDENTIAL DR
JACKSONVILLE, FL 32207

Duval County (814) 591-8074

DR. RYAN BENJAMIN BRENES D.O.

Family Medicine

820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207

Duval County (306) 619-5517

M. ELIZABETH B PERRY M.D.

Anesthesiology

820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207

Duval County (904) 398-3356

ERIN BECKETT ARNP

Nurse Practitioner (Neonatal)

820 PRUDENTIAL DR
JACKSONVILLE, FL 32207

Duval County (575) 491-4958

PETER J CLAGNAZ MD

Psychiatry & Neurology (Psychiatry)

820 PRUDENTIAL DR, SUITE 510
JACKSONVILLE, FL 32207

Duval County (904) 376-3800

DR. FRANCISCO JAVIER GUTIERREZ D.O.

Emergency Medicine

820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207

Duval County (904) 396-5682

JANICE RIDDELL ABDELNOUR R.D, C.D.E.

Dietitian, Registered

820 PRUDENTIAL DR, SUITE 416
JACKSONVILLE, FL 32207

Duval County (904) 202-2140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa Buccolo's NPI number?

The NPI number for Larissa Buccolo is 1598747925. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Larissa Buccolo located?

Larissa Buccolo practices at 820 Prudential Dr Ste 713, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.

What is Larissa Buccolo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Larissa Buccolo enrolled in Medicare?

Yes. Larissa Buccolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Larissa Buccolo accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Larissa Buccolo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Larissa Buccolo affiliated with any hospitals?

According to CMS data, Larissa Buccolo is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Larissa Buccolo was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.