LARRY H. LAMBERTSON – Psychiatry Physician, NPI 1124019005

LARRY H. LAMBERTSON is a healthcare provider. based in Fort wayne, Indiana. specializing in PSYCHIATRY. They hold a License No. 01040684A (IN). The NPI Number for LARRY H. LAMBERTSON is 1124019005

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
LARRY H. LAMBERTSON
NPI
1124019005
Phone
(260) 481-2700
Address
909 E STATE BLVD
Enumeration Date
31 October 2005
Last Update Date
16 April 2012

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2603474400
Graduation Year
1977 (49 years ago)
PAC ID
1153467659
Group Practice PAC ID
6709795636
Professional Enrollment ID
I20091014000576
Address ID
IN467559436KE1930XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

528 PSYCHIATRY in IN

Loading map...

Provider Addresses for LARRY H. LAMBERTSON

  • 909, East State Boulevard, Fort Wayne, Allen County, Indiana, 46805, United States

    FORT WAYNE, IN 468053404

    Phone: (260) 481-2700

    Fax: (260) 481-2717

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 144 Open Payments records for all available years, with a total value of $60,539.

Total Amount is formed as General ($60,539) + Research ($0) + Ownership ($0) = $60,539.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($57,776).

Total Amount

$60,539

General + Research + Ownership

Payments

144

Total payment records

General Amount

$60,539

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2009-10-14

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
I20091014000576IPsychiatryINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15348$0
99212Established patient office or other outpatient visit, 10-19 minutes6229$0
99213Established patient office or other outpatient visit, 20-29 minutes6033$0
View full utilization report →

Insurance plans in this area (ZIP 46805)

Loading plans...

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: 6709795636View full group profile
NameSpecialtyState
P S Y C H I A T R YIN
Certified Clinical Nurse Specialist (Cns)IN
-IN
Mental Health CounselorIN
Nurse PractitionerIN
-IN
Marriage And Family TherapistIN
Clinical Social WorkerIN
-IN
Nurse PractitionerIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check LARRY H. LAMBERTSON using NPI 1124019005?
NPI 1124019005 belongs to LARRY H. LAMBERTSON; compare other details if you need extra assurance.
Would LARRY H. LAMBERTSON appear as active to a payer?
You can treat LARRY H. LAMBERTSON as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LARRY H. LAMBERTSON?
At a glance, LARRY H. LAMBERTSON is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LARRY H. LAMBERTSON?
Travel planning: use Fort Wayne, Indiana as the reference point for LARRY H. LAMBERTSON, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

DR. GEETA B BISHT (MD)

Psychiatry Physician
North Glendale Drive, Westmoor, Fort Wayne, Allen County, Indiana, 46804, United States
NPI: 1134122674

DR. PREVESH K RUSTAGI (M.D.)

Psychiatry Physician
3400, East Coliseum Boulevard, Fort Wayne, Allen County, Indiana, 46805, United States
NPI: 1245237411

MAHENDER REDDY SURAKANTI (MD)

Psychiatry Physician
7806, West Jefferson Boulevard, Brierwood Hills, Fort Wayne, Allen County, Indiana, 46804, United States
NPI: 1417940909
PO BOX 706122
NPI: 1831185545

DR. RICHARD A HORSTMEYER (MD)

Family Medicine Physician
127, South Main Street, New Auburn, Auburn, Androscoggin County, Maine, 04210, United States
NPI: 1689664419

DR. ALYCIA BROWN (MD)

Child & Adolescent Psychiatry Physician
Carew Street, Fort Wayne, Allen County, Indiana, 46805, United States
NPI: 1790762078

FRANK SHAO (M.D.)

Psychiatry Physician
1720, Beacon Street, New Kirkwood Park, Fort Wayne, Allen County, Indiana, 46805, United States
NPI: 1982683736