MR. BRANDON LEON LARSEN (PA-C) – Medical Physician Assistant, NPI 1215523337
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for MR. BRANDON LEON LARSEN (PA-C)
1301 E 17TH ST
IDAHO FALLS, ID 834046273
Phone: (208) 991-4296
Fax: (208) 656-2846
Type: Location
891 TIE BREAKER DR
AMMON, ID 834064554
Phone: (208) 569-8676
Type: Mailing
396 YELLOWSTONE AVE
POCATELLO, ID 832014572
Phone: (208) 254-7733
Type: Location
3760 Washington Pkwy
Idaho Falls, ID 834047593
Phone: (208) 881-5779
Fax: (888) 326-6076
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $2,895.
Total Amount is formed as General ($2,895) + Research ($0) + Ownership ($0) = $2,895.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($826).
Total Amount
$2,895
General + Research + Ownership
Payments
86
Total payment records
General Amount
$2,895
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $826 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $646 |
| ITI, Inc. | $469 |
| Janssen Pharmaceuticals, Inc | $390 |
| Axsome Therapeutics, Inc. | $229 |
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: 2021-03-17
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 |
|---|---|---|---|---|
| I20210317001243 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 17 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Psychologist | ID | |
| Mental Health Counselor | ID |
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