DR. BRIAN LARSEN (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1083871974

DR. BRIAN LARSEN (M.D.) is a healthcare provider. based in Oakbrook terrace, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 036129978 (IL). The NPI Number for DR. BRIAN LARSEN (M.D.) is 1083871974

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN LARSEN (M.D.)
NPI
1083871974
Phone
(773) 943-7425
Address
1S376 SUMMIT AVE STE 4C
Enumeration Date
19 May 2008
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
3125722000
Graduation Year
2006 (20 years ago)
PAC ID
2668666827
Group Practice PAC ID
2860398088
Professional Enrollment ID
I20120804000121
Address ID
IL606152494CH500XXSTXX400

Contacts

Secure Messaging
blarsen@direct.ccprovider.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness95
Years active:18State licenses:2Other names

958 OPHTHALMOLOGY in IL

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Provider Addresses for DR. BRIAN LARSEN (M.D.)

  • 1S376 SUMMIT AVE STE 4C

    OAKBROOK TERRACE, IL 601813966

    Phone: (773) 943-7425

    Fax: (773) 896-0303

    Type: Mailing

  • 4401, South Harlem Avenue, Stickney, Stickney Township, Cook County, Illinois, 60402, United States

    STICKNEY, IL 604024250

    Phone: (708) 788-3400

    Fax: (708) 788-3472

    Type: Mailing

  • 477 E BUTTERFIELD RD STE 105

    LOMBARD, IL 601485622

    Phone: (773) 943-7425

    Fax: (773) 896-0303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $8,884.

Total Amount is formed as General ($8,884) + Research ($0) + Ownership ($0) = $8,884.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($5,355).

Total Amount

$8,884

General + Research + Ownership

Payments

55

Total payment records

General Amount

$8,884

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2012-08-04

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
I20120804000121IOphthalmologyILTBD

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
J2777Injection, faricimab-svoa, 0.1 mg8,76026$0
J0178Injection, aflibercept, 1 mg4,386358$0
92134Imaging of retina3,1641,009$0
67028Injection of drug into eye2,266446$0
92014Established patient complete exam of visual system1,418906$0
View full utilization report →

Insurance plans in this area (ZIP 60181)

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Provider's Procedures

DR. BRIAN LARSEN (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92134Diagnostic imaging of retina7445
OPHTHALMOLOGYIL92012Eye and medical examination for diagnosis and treatment, established patient10177

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: 2860398088View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)MA
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
Physician AssistantIL

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Frequently asked questions

What NPI should I save for DR. BRIAN LARSEN (M.D.)?
Save NPI 1083871974 if you need a stable reference for DR. BRIAN LARSEN (M.D.).
Is DR. BRIAN LARSEN (M.D.) active in the national directory?
DR. BRIAN LARSEN (M.D.)'s public NPI profile is in an active state.
What does DR. BRIAN LARSEN (M.D.) treat or focus on?
Patients typically see DR. BRIAN LARSEN (M.D.) under the specialty Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN LARSEN (M.D.)'s primary listing?
We display Oakbrook Terrace, Illinois because that is what the record indicates for DR. BRIAN LARSEN (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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