DAVID KENT LARSON (M.D.) – Family Medicine Physician, NPI 1891803508

DAVID KENT LARSON (M.D.) is a healthcare provider. based in Fairfield, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 26783 (IA). The NPI Number for DAVID KENT LARSON (M.D.) is 1891803508

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DAVID KENT LARSON (M.D.)
NPI
1891803508
Phone
(641) 472-4141
Address
2000 SOUTH MAIN STREET
Enumeration Date
25 August 2006
Last Update Date
22 July 2009

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
6414724111
Graduation Year
1987 (39 years ago)
PAC ID
1052476165
Group Practice PAC ID
9335059575
Professional Enrollment ID
I20100524000611
Address ID
IA525569572FA2000XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for DAVID KENT LARSON (M.D.)

  • Jefferson County Health Center, 2000, South Main Street, Fairfield, Jefferson County, Iowa, 52556, United States

    STE C

    FAIRFIELD, IA 525563739

    Phone: (641) 472-4141

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-06-01 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-01

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: 2010-05-24

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
I20100524000611IFamily PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52556)

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Provider's Procedures

DAVID KENT 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 MEDICINEIA85610Blood test, clotting time4311

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: 9335059575View full group profile
NameSpecialtyState
Physician AssistantIA
Family PracticeIA
-IA
Orthopedic SurgeryIA
Family PracticeIA
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Physician AssistantIA
Certified Registered Nurse Anesthetist (Crna)IA

Reviews

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Frequently asked questions

What unique ID ties claims to DAVID KENT LARSON (M.D.)?
NPI 1891803508 is assigned to DAVID KENT LARSON (M.D.) under the national enumeration system.
Is DAVID KENT LARSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DAVID KENT LARSON (M.D.)?
The page reflects Family Medicine Physician for DAVID KENT LARSON (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID KENT LARSON (M.D.)?
The page summarizes Fairfield, Iowa for DAVID KENT LARSON (M.D.); expand the address list for detail.
Is DAVID KENT LARSON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1891803508. Always confirm identity and privileges with the practice and licensing boards.

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