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Entity linking involves normalizing a mention in medical text to a unique identifier in a knowledge base, such as UMLS or MeSH. Most entity linkers follow a two-stage process: first, a candidate generation step selects high-quality candidates, and then a named entity disambiguation phase determines the best candidate for final linking. This study demonstrates that leveraging a large language model (LLM) as an entity disambiguator significantly enhances entity linking models’ accuracy and recall. Specifically, the LLM disambiguator achieves remarkable improvements when applied to alias-matching entity linking methods. Without any fine-tuning, our approach establishes a new state-of-the-art (SOTA), surpassing previous methods on multiple prevalent biomedical datasets by up to 16 points in accuracy. We released our code on GitHub at https://github.com/ChristopheYe/llm_disambiguator