STEPHEN LARSON (MD) – Emergency Medicine Physician, NPI 1386755775

STEPHEN LARSON (MD) is a healthcare provider. based in Oak brook, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2003010856 (MO). The NPI Number for STEPHEN LARSON (MD) is 1386755775

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN LARSON (MD)
NPI
1386755775
Phone
(314) 344-6000
Address
PO BOX 4853
Enumeration Date
31 August 2006
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9128982227
Graduation Year
1988 (38 years ago)
PAC ID
4688576325
Group Practice PAC ID
4082802509
Professional Enrollment ID
I20130128000323
Address ID
GA314102944SA4717XEXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

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Provider Addresses for STEPHEN LARSON (MD)

  • Oak Brook Post Office, 1314, Kensington Road, Oak Brook, DuPage County, Illinois, 60523, United States

    OAK BROOK, IL 605224853

    Phone: (314) 344-6000

    Type: Mailing

  • Paul Mayer Avenue, Bridgeton, Saint Louis County, Missouri, 63044, United States

    BRIDGETON, MO 630442512

    Phone: (314) 344-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (952 days ago).

Enrollment records

2

Earliest due date

2023-10-31

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
I20130128000323IEmergency MedicineGATBD
I20131008000723IEmergency MedicineSC2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99285Emergency department visit with high level of medical decision making140133$0
99284Emergency department visit with moderate level of medical decision making7676$0
99283Emergency department visit with low level of medical decision making1616$0
99291Critical care, first 30-74 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 60522)

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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: 4082802509View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
Physician AssistantSC
Physician AssistantGA
Physician AssistantNC

Reviews

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Frequently asked questions

How is STEPHEN LARSON (MD) identified in CMS data?
CMS-hosted NPPES data lists STEPHEN LARSON (MD) with NPI 1386755775.
Is STEPHEN LARSON (MD) listed as active for patients and plans?
The listing shows STEPHEN LARSON (MD) as active in the NPI system.
What is STEPHEN LARSON (MD)'s specialty?
The listing groups STEPHEN LARSON (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHEN LARSON (MD) on a map?
Expect Oak Brook, Illinois as a primary anchor for STEPHEN LARSON (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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