PAUL LORENZO LARSEN (PA-C) – Physician Assistant, NPI 1235439621
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for PAUL LORENZO LARSEN (PA-C)
PO BOX 277381
ATLANTA, GA 303847381
Phone:
Type: Mailing
3200 CHANNING WAY STE A205
IDAHO FALLS, ID 834047586
Phone: (208) 535-4580
Type: Location
907 GEORGIANA ST
PORT ANGELES, WA 983623911
Phone: (360) 565-0999
Fax: (360) 565-0852
Type: Mailing
PO BOX 12358
AUGUSTA, GA 309142358
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Mailing
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,539.
Total Amount is formed as General ($1,539) + Research ($0) + Ownership ($0) = $1,539.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Getinge USA Sales, LLC ($1,406).
Total Amount
$1,539
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,539
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Getinge USA Sales, LLC | $1,406 |
| Medical Device Business Services, Inc. | $118 |
| Pacira Pharmaceuticals Incorporated | $15 |
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: 2022-01-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170602000330 | I | Physician Assistant | UT | TBD |
| I20220131002326 | I | Physician Assistant | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Cardiac Electrophysiology | GA | |
| Cardiac Electrophysiology | UT | |
| Nurse Practitioner | ID | |
| N E U R O S U R G E R Y | ID | |
| Vascular Surgery | IA | |
| N E U R O S U R G E R Y | GA | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Thoracic Surgery | MO |
Reviews
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