DR. JOHN ROBERT LARSON (M.D.) – Family Medicine Physician, NPI 1215932173

DR. JOHN ROBERT LARSON (M.D.) is a healthcare provider. based in Bremen, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01033673 (IN). The NPI Number for DR. JOHN ROBERT LARSON (M.D.) is 1215932173

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ROBERT LARSON (M.D.)
NPI
1215932173
Phone
(574) 546-3649
Address
1724 W PLYMOUTH ST
Enumeration Date
16 June 2005
Last Update Date
14 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
7214065994
Professional Enrollment ID
I20100518000142
Address ID
IN465061940Br1724XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

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Provider Addresses for DR. JOHN ROBERT LARSON (M.D.)

  • West Plymouth Street, Bremen, Marshall County, Indiana, 46506, United States

    BREMEN, IN 465061940

    Phone: (574) 546-3649

    Fax: (574) 546-3952

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Stryker Corporation ($26).

Total Amount

$141

General + Research + Ownership

Payments

7

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-05-18

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
I20100518000142IFamily PracticeINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes347104$0
99214Established patient office or other outpatient visit, 30-39 minutes279121$0
11042Removal of skin and tissue, 20.0 sq cm or less17957$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less7617$0
G0008Administration of influenza virus vaccine5050$0
View full utilization report →

Insurance plans in this area (ZIP 46506)

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Provider's Procedures

DR. JOHN ROBERT LARSON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIN11042Removal of skin and tissue first 20 sq cm or less53997
FAMILY MEDICINEIN83036Hemoglobin A1C level1715
FAMILY MEDICINEIN90670Pneumococcal vaccine for injection into muscle1717

Reviews

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Frequently asked questions

What identifier follows DR. JOHN ROBERT LARSON (M.D.) across health systems?
The NPI 1215932173 uniquely identifies DR. JOHN ROBERT LARSON (M.D.) in U.S. healthcare data.
Does the public listing show DR. JOHN ROBERT LARSON (M.D.) as active?
DR. JOHN ROBERT LARSON (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. JOHN ROBERT LARSON (M.D.)'s specialty?
The extract shows Family Medicine Physician for DR. JOHN ROBERT LARSON (M.D.). Clinical services aligned with this taxonomy classification.
Is DR. JOHN ROBERT LARSON (M.D.) tied to Bremen, Indiana?
If you are local to Bremen, Indiana, DR. JOHN ROBERT LARSON (M.D.) may be relevant to your search.
Why is information missing for DR. JOHN ROBERT LARSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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