JOHN R LARSON (MD) – Interventional Pain Medicine Physician, NPI 1104864354
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 ANESTHESIOLOGY in AR
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Provider Addresses for JOHN R LARSON (MD)
Batesville Post Office, 490, East College Avenue, Batesville, Independence County, Arkansas, 72501, United States
BATESVILLE, AR 725032197
Phone: (870) 262-6155
Fax: (870) 262-6152
Type: Mailing
1215, Sidney Street, Batesville, Independence County, Arkansas, 72501, United States
SUITE 203
BATESVILLE, AR 725017203
Phone: (870) 262-6155
Fax: (870) 262-6152
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: TerSera Therapeutics LLC ($106).
Total Amount
$144
General + Research + Ownership
Payments
8
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TerSera Therapeutics LLC | $106 |
| Averitas Pharma Inc. | $22 |
| ABBVIE INC. | $16 |
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: 2013-02-06
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 |
|---|---|---|---|---|
| I20130206000589 | I | Anesthesiology | AR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 233 | 117 | $0 |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 192 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 56 | $0 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 28 | 20 | $0 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 28 | 20 | $0 |
Insurance plans in this area (ZIP 72503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | AR | 62311 | Injections of substances into lower or sacral spine | 55 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | AR |
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