KENNETH ANDREW LARSON (M. D.) – Surgery Physician, NPI 1659451441

KENNETH ANDREW LARSON (M. D.) is a healthcare provider. based in Atlantis, Florida. specializing in GENERAL SURGERY. They hold the professional credentials M. D.. They hold a License No. ME088693 (FL). The NPI Number for KENNETH ANDREW LARSON (M. D.) is 1659451441

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH ANDREW LARSON (M. D.)
NPI
1659451441
Phone
(561) 964-1635
Address
5511 S CONGRESS AVE
Enumeration Date
16 October 2006
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
5619641634
Graduation Year
1999 (27 years ago)
PAC ID
3072599851
Group Practice PAC ID
1456455021
Professional Enrollment ID
I20040624001046
Address ID
FL334621140AT5511XAVEX407

Contacts

Secure Messaging
KENNETH.LARSON@hca4.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,163 GENERAL SURGERY in FL

Provider Addresses for KENNETH ANDREW LARSON (M. D.)

  • 5511 S CONGRESS AVE

    SUITE 105

    ATLANTIS, FL 334621140

    Phone: (561) 964-1635

    Fax: (561) 964-1636

    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 25 Open Payments records for all available years, with a total value of $8,560.

Total Amount is formed as General ($8,560) + Research ($0) + Ownership ($0) = $8,560.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,168).

Total Amount

$8,560

General + Research + Ownership

Payments

25

Total payment records

General Amount

$8,560

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2004-06-24

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
I20040624001046IGeneral SurgeryFLTBD

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 minutes13462$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5928$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2522$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
99215Established patient office or other outpatient visit, 40-54 minutes1914$0
View full utilization report →

Insurance plans in this area (ZIP 33462)

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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: 1456455021View full group profile
NameSpecialtyState
General SurgeryIA
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerGA
Vascular SurgeryFL
General SurgeryFL
Nurse PractitionerFL
Colorectal Surgery (Proctology), General SurgeryFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify KENNETH ANDREW LARSON (M. D.) with an NPI only?
You can start verification with NPI 1659451441 for KENNETH ANDREW LARSON (M. D.), then check state licensing separately.
Does CMS list KENNETH ANDREW LARSON (M. D.) as active?
Yes — KENNETH ANDREW LARSON (M. D.) is active in the NPI listing used on this page.
What is KENNETH ANDREW LARSON (M. D.)'s primary classification?
Surgery Physician is the headline specialty for KENNETH ANDREW LARSON (M. D.) here. Clinical services aligned with this taxonomy classification.
Where is KENNETH ANDREW LARSON (M. D.) based?
KENNETH ANDREW LARSON (M. D.) is tied to Atlantis, Florida in the data we show; additional addresses may exist on the full record.
Why does KENNETH ANDREW LARSON (M. D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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