DR. CODY BRAXTON LARSEN (MD) – Emergency Medicine Physician, NPI 1003279456
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,791 EMERGENCY MEDICINE in CA
Provider Addresses for DR. CODY BRAXTON LARSEN (MD)
263 18th Ave
San Francisco, CA 941212314
Phone: (415) 704-4757
Type: Location
3 E Benjamin Dr
New Martinsville, WV 261552705
Phone: (304) 455-8000
Type: Location
263;265, 18th Avenue, Richmond District, San Francisco, California, 94121-3131, United States
SAN FRANCISCO, CA 941212314
Phone: (415) 704-4757
Type: Mailing
Reynolds Memorial Hospital, 800, Wheeling Avenue, Glendale, Glen Dale, Marshall County, West Virginia, 26038, United States
GLEN DALE, WV 260381660
Phone: (304) 845-3211
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Inari Medical, Inc. ($48).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $48 |
| Janssen Pharmaceuticals, 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: 2024-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20200828002266 | I | Emergency Medicine | WV | TBD |
| I20201214001764 | I | Emergency Medicine | NJ | TBD |
| I20240229001250 | I | Emergency Medicine | OH | TBD |
| I20240626000669 | I | Emergency Medicine | CA | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 774 | 522 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 292 | 278 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 287 | 274 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 108 | 103 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 94121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | NY | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | AZ | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | CA |
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