PENNY LEE LARSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1528057213

PENNY LEE LARSON (M.D.) is a healthcare provider. based in Sacramento, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 01051820A (IN). The NPI Number for PENNY LEE LARSON (M.D.) is 1528057213

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
PENNY LEE LARSON (M.D.)
NPI
1528057213
Phone
(800) 470-0071
Address
10470 OLD PLACERVILLE RD
Enumeration Date
17 October 2005
Last Update Date
15 June 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
9169202082
Graduation Year
1998 (28 years ago)
PAC ID
2769485333
Group Practice PAC ID
3779580196
Professional Enrollment ID
I20060821000430
Address ID
CA958255480SA77XXXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for PENNY LEE LARSON (M.D.)

  • 10470, Old Placerville Road, Mather, Rancho Cordova, Sacramento County, California, 95827, United States

    SUITE 100

    SACRAMENTO, CA 958272539

    Phone: (800) 470-0071

    Type: Mailing

  • 969, Plumas Street, Yuba City, Sutter County, California, 95991, United States

    SUITE 103

    YUBA CITY, CA 959914011

    Phone: (530) 749-3585

    Fax: (530) 749-3499

    Type: Location

  • 1756 MAGENTA DR

    ROSEVILLE, CA 957474915

    Phone: (530) 300-8576

    Type: Mailing

  • 12646 THORNBERG WAY

    RANCHO CORDOVA, CA 957427839

    Phone: (916) 238-6070

    Fax: (916) 238-6070

    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 $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($57).

Total Amount

$175

General + Research + Ownership

Payments

8

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-08-21

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
I20060821000430IObstetrics/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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95827)

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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: 3779580196View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

Can I use this page to confirm PENNY LEE LARSON (M.D.)'s NPI?
Yes. PENNY LEE LARSON (M.D.) is listed with NPI 1528057213 in the public NPI dataset.
Does the file indicate PENNY LEE LARSON (M.D.) is practicing under active NPI?
Directory data currently reports PENNY LEE LARSON (M.D.) as active.
What is PENNY LEE LARSON (M.D.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for PENNY LEE LARSON (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does PENNY LEE LARSON (M.D.) serve?
PENNY LEE LARSON (M.D.)'s listing highlights Sacramento, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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