MICHAEL ODELL LARSON (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1417452376
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
103 OTOLARYNGOLOGY in AR
Provider Addresses for MICHAEL ODELL LARSON (MD)
1 Childrens Way
Little Rock, AR 722023500
Phone: (501) 364-1100
Fax: (501) 364-4082
Type: Location
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 722057101
Phone: (501) 686-8000
Fax: (501) 526-5148
Type: Mailing
8919, South 92nd East Place, Woodland Glens, Tulsa, Tulsa County, Oklahoma, 74133, United States
TULSA, OK 741334455
Phone: (801) 549-8178
Type: Mailing
Gresham Drive, Norfolk, Virginia, 23507, United States
NORFOLK, VA 235071904
Phone: (757) 388-6200
Type: Location
4301 W MARKHAM ST # 543
LITTLE ROCK, AR 722057101
Phone: (501) 686-5878
Fax: (501) 686-8644
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $382.
Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Integra LifeSciences Corporation ($173).
Total Amount
$382
General + Research + Ownership
Payments
6
Total payment records
General Amount
$382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $173 |
| MED-EL Corporation | $144 |
| GlaxoSmithKline, LLC. | $28 |
| Optinose US, Inc. | $19 |
| Phathom Pharmaceuticals, Inc. | $18 |
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: 2024-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230822002085 | I | Otolaryngology | AR | TBD |
| I20240830003672 | I | Otolaryngology | TN | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 69210 | Removal of impacted ear wax | 20 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 72202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | TN | |
| Qualified Audiologist | TN | |
| Qualified Audiologist | TN | |
| - | TN | |
| Qualified Audiologist | TN | |
| Qualified Audiologist | NC | |
| O T O L A R Y N G O L O G Y | TN | |
| O T O L A R Y N G O L O G Y | MI | |
| Qualified Audiologist | TN | |
| Qualified Audiologist | TN |
Reviews
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