DR. PRIMO NERY JR. LARA (M.D.) – Hematology & Oncology Physician, NPI 1972585743

DR. PRIMO NERY JR. LARA (M.D.) is a healthcare provider. based in Davis, California. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE, MEDICAL ONCOLOGY, HEMATOLOGY. They hold the professional credentials M.D.. They hold a License No. A55072 (CA). The NPI Number for DR. PRIMO NERY JR. LARA (M.D.) is 1972585743

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRIMO NERY JR. LARA (M.D.)
NPI
1972585743
Phone
(916) 734-3772
Address
3801 ASCADA PL
Enumeration Date
17 November 2005
Last Update Date
16 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167345959
Graduation Year
1992 (34 years ago)
PAC ID
6406929611
Group Practice PAC ID
3375456619
Professional Enrollment ID
I20080722000213
Address ID
CA958172229SA4501XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,531 HEMATOLOGY/ONCOLOGY in CA

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Provider Addresses for DR. PRIMO NERY JR. LARA (M.D.)

  • Ascada Place, Davis, Yolo County, California, 95618, United States

    DAVIS, CA 956166764

    Phone: (916) 734-3772

    Type: Mailing

  • UC Davis Comprehensive Cancer Center, 2279, 45th Street, Sacramento, Sacramento County, California, 95817, United States

    SACRAMENTO, CA 958172229

    Phone: (916) 734-5959

    Fax: (916) 703-5265

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $3,828.

Total Amount is formed as General ($3,828) + Research ($0) + Ownership ($0) = $3,828.

Last reported payment date: 2024-09-15 • Largest payer in this snapshot: Genmab U.S., Inc. ($3,593).

Total Amount

$3,828

General + Research + Ownership

Payments

5

Total payment records

General Amount

$3,828

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-15

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: 2015-03-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080722000213IHematology/OncologyCATBD
I20150316000020IMedical OncologyCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12676$0
99205New patient office or other outpatient visit, 60-74 minutes2424$0
99213Established patient office or other outpatient visit, 20-29 minutes2420$0
99215Established patient office or other outpatient visit, 40-54 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 95616)

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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: 3375456619View full group profile
NameSpecialtyState
Nurse PractitionerNY
-PA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantIL
Internal Medicine, Hospice/Palliative CareCA
Family PracticeCA
-CA
-CA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. PRIMO NERY JR. LARA (M.D.)'s NPI?
Yes. DR. PRIMO NERY JR. LARA (M.D.) is listed with NPI 1972585743 in the public NPI dataset.
Is DR. PRIMO NERY JR. LARA (M.D.) still practicing?
DR. PRIMO NERY JR. LARA (M.D.) is currently listed as active in the public NPI registry.
What is DR. PRIMO NERY JR. LARA (M.D.) best known for clinically?
Directory data describes DR. PRIMO NERY JR. LARA (M.D.) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. PRIMO NERY JR. LARA (M.D.) serve?
DR. PRIMO NERY JR. LARA (M.D.)'s listing highlights Davis, California; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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