JAY C LARSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1386806917
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
472 PODIATRY in AZ
Provider Addresses for JAY C LARSON (DPM)
5750 W THUNDERBIRD RD STE G700
GLENDALE, AZ 853064673
Phone: (602) 938-3600
Fax: (602) 938-0400
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $222.
Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Orthofix Medical, Inc. ($152).
Total Amount
$222
General + Research + Ownership
Payments
16
Total payment records
General Amount
$222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $152 |
| Fusion Orthopedics USA, LLC | $39 |
| DJO, LLC | $19 |
| IlluminOss Medical, Inc. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110725000774 | I | Podiatry | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 676 | 208 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 569 | 290 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 502 | 16 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 373 | 118 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 226 | 132 | $0 |
Insurance plans in this area (ZIP 85306)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | AZ | |
| P O D I A T R Y | AZ |
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