LARRY J LO (MD) – Obstetrics & Gynecology Physician, NPI 1205850864

LARRY J LO (MD) is a healthcare provider. based in Tracy, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. G54156 (CA). The NPI Number for LARRY J LO (MD) is 1205850864

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
LARRY J LO (MD)
NPI
1205850864
Phone
(209) 229-3700
Address
632 W 11th St
Enumeration Date
27 July 2006
Last Update Date
5 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
2098333320
Graduation Year
1981 (45 years ago)
PAC ID
4284618067
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20040618000676
Address ID
CA953763420TR473XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for LARRY J LO (MD)

  • 632 W 11th St

    Suite 119

    Tracy, CA 953763856

    Phone: (209) 229-3700

    Fax: (209) 229-3755

    Type: Location

  • 445, Eaton Avenue, Tracy, San Joaquin County, California, 95376, United States

    TRACY, CA 95376

    Phone: (209) 335-0100

    Fax: (209) 835-7257

    Type: Location

  • Old Placerville Road, Rancho Cordova, Sacramento County, California, 95655, United States

    SACRAMENTO, CA 958272539

    Phone: (800) 470-0071

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-07-28 • Largest payer in this snapshot: Stryker Corporation ($37).

Total Amount

$37

General + Research + Ownership

Payments

1

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$37
View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040618000676IObstetrics/GynecologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6335$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2424$0
99214Established patient office or other outpatient visit, 30-39 minutes2214$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
81003Automated urinalysis test1712$0
View full utilization report →

Insurance plans in this area (ZIP 95376)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the registry number for LARRY J LO (MD)?
The registry entry for LARRY J LO (MD) shows NPI 1205850864.
Is LARRY J LO (MD)'s NPI status active today?
Active status means LARRY J LO (MD)'s NPI record is not deactivated in the public file.
What does the directory say LARRY J LO (MD) does?
Insurance directories may phrase it differently, but here LARRY J LO (MD) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LARRY J LO (MD)?
LARRY J LO (MD) is associated with Tracy, California in the same public data insurers reference.
Can I export LARRY J LO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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