DR. TRAVIS L LARSON (M.D.) – Family Medicine Physician, NPI 1417482373

DR. TRAVIS L LARSON (M.D.) is a healthcare provider. based in Milton, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME144531 (FL). The NPI Number for DR. TRAVIS L LARSON (M.D.) is 1417482373

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRAVIS L LARSON (M.D.)
NPI
1417482373
Phone
(850) 623-9787
Address
5907 BERRYHILL RD
Enumeration Date
27 April 2017
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506239787
Graduation Year
2017 (9 years ago)
PAC ID
5597038190
Group Practice PAC ID
5597751776
Professional Enrollment ID
I20200616000887
Address ID
FL325708278MI5907XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. TRAVIS L LARSON (M.D.)

  • 5907, Berryhill Road, Milton, Santa Rosa County, Florida, 32570, United States

    MILTON, FL 325708278

    Phone: (850) 623-9787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $2,311.

Total Amount is formed as General ($2,311) + Research ($0) + Ownership ($0) = $2,311.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($464).

Total Amount

$2,311

General + Research + Ownership

Payments

142

Total payment records

General Amount

$2,311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2020-06-16

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
I20200616000887IFamily PracticeFLTBD

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 minutes1,007421$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes217217$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit214214$0
G0442Annual alcohol misuse screening, 5 to 15 minutes214214$0
G0444Annual depression screening, 5 to 15 minutes212212$0
View full utilization report →

Insurance plans in this area (ZIP 32570)

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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: 5597751776View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TRAVIS L LARSON (M.D.)?
NPI 1417482373 is assigned to DR. TRAVIS L LARSON (M.D.) under the national enumeration system.
Is DR. TRAVIS L LARSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. TRAVIS L LARSON (M.D.) treat or focus on?
Patients typically see DR. TRAVIS L LARSON (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. TRAVIS L LARSON (M.D.) practice in Florida?
You will see Milton, Florida on file for DR. TRAVIS L LARSON (M.D.) alongside any extra practice locations.
Is DR. TRAVIS L LARSON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1417482373. Always confirm identity and privileges with the practice and licensing boards.

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