STEVEN ALLEN LARSEN (MD) – Diagnostic Radiology Physician, NPI 1508953555
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
47 INTERVENTIONAL RADIOLOGY in ID
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Provider Addresses for STEVEN ALLEN LARSEN (MD)
2265 E SUNNYSIDE RD BLDG B
IDAHO FALLS, ID 834047598
Phone: (208) 542-5000
Type: Mailing
Portneuf Medical Center, 777, Hospital Way, Pocatello, Bannock County, Idaho, 83201, United States
BLDG B
POCATELLO, ID 832015175
Phone: (208) 239-1000
Type: Location
1460 G St
Springfield, OR 974774112
Phone: (816) 800-9020
Type: Location
1501 E 3rd St
Delta, CO 814162815
Phone: (970) 874-7681
Type: Location
1110 N Sarah DeWitt Dr
Gonzales, TX 786293311
Phone: (816) 800-9020
Type: Location
2265, East Sunnyside Road, Idaho Falls, Bonneville County, Idaho, 83404, United States
BLDG B
IDAHO FALLS, ID 834047598
Phone: (208) 542-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $290.
Total Amount is formed as General ($290) + Research ($0) + Ownership ($0) = $290.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: MML US, Inc. ($176).
Total Amount
$290
General + Research + Ownership
Payments
8
Total payment records
General Amount
$290
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MML US, Inc. | $176 |
| Lundbeck LLC | $98 |
| Dexcom, Inc. | $17 |
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: 2024-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20061117000300 | I | Diagnostic Radiology | OR | TBD |
| I20080219000846 | I | Diagnostic Radiology | ID | TBD |
| I20150717001188 | I | Diagnostic Radiology | WY | TBD |
| I20160127000469 | I | Diagnostic Radiology | MT | TBD |
| I20220510001680 | I | Diagnostic Radiology | UT | TBD |
| I20240802002629 | I | Diagnostic Radiology | FL | TBD |
| I20240904003139 | I | Diagnostic Radiology | KS | TBD |
| I20240924001442 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,650 | 25 | $0 |
| 71045 | X-ray of chest, 1 view | 710 | 661 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 376 | 369 | $0 |
| 70450 | Ct scan head or brain without contrast | 334 | 326 | $0 |
| 77063 | Screening 3d breast mammography | 253 | 253 | $0 |
Insurance plans in this area (ZIP 83404)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | ID | 73562 | X-ray of knee, 3 views | 47 | 42 |
| DIAGNOSTIC RADIOLOGY | ID | 74177 | CT scan of abdomen and pelvis with contrast | 20 | 20 |
| DIAGNOSTIC RADIOLOGY | ID | 76830 | Ultrasound pelvis through vagina | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | ID | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 35 | 34 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| Interventional Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID |
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