JACQUELINE KAY LARSON (MD) – Pediatric Gastroenterology Physician, NPI 1386996759
Pediatric Gastroenterology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for JACQUELINE KAY LARSON (MD)
900 S PINE ISLAND RD STE 800
PLANTATION, FL 333243923
Phone: (954) 315-5780
Type: Mailing
1193 W 49TH ST
HIALEAH, FL 330123337
Phone: (954) 315-5780
Fax: (305) 594-9959
Type: Location
2900 CORPORATE WAY
DOOR D
MIRAMAR, FL 330253925
Phone: (954) 276-5685
Fax: (954) 985-7074
Type: Mailing
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 330215403
Phone: (954) 276-1514
Fax: (954) 276-0754
Type: Location
1131 N 35th Ave Ste 300
Hollywood, FL 330215403
Phone: (954) 276-1514
Fax: (954) 276-0754
Type: Location
PO BOX 917770
ORLANDO, FL 328910001
Phone: (813) 821-8038
Fax: (813) 974-0483
Type: Mailing
2 TAMPA GENERAL CIR
TAMPA, FL 336063571
Phone: (813) 821-8038
Fax: (813) 974-0483
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $1,053.
Total Amount is formed as General ($1,053) + Research ($0) + Ownership ($0) = $1,053.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: EvoEndo, Inc ($935).
Total Amount
$1,053
General + Research + Ownership
Payments
4
Total payment records
General Amount
$1,053
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-02-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210225001457 | I | Gastroenterology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33324)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
Reviews
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