STUART LARSON (MD) – Psychiatry Physician, NPI 1124178009

STUART LARSON (MD) is a healthcare provider. based in Bowling green, Kentucky. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 27652 (KY). The NPI Number for STUART LARSON (MD) is 1124178009

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
STUART LARSON (MD)
NPI
1124178009
Phone
(270) 901-5000
Address
380 SUWANNEE TRAIL ST
Enumeration Date
11 January 2007
Last Update Date
28 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8592362222
Graduation Year
1989 (37 years ago)
PAC ID
7719015866
Group Practice PAC ID
7517876956
Professional Enrollment ID
I20100511000132
Address ID
KY404222527DA130XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

398 PSYCHIATRY in KY

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Provider Addresses for STUART LARSON (MD)

  • LifeSkills Mental Health, 380, Suwannee Trail St, Bowling Green, Warren County, Kentucky, 42103, United States

    BOWLING GREEN, KY 421037956

    Phone: (270) 901-5000

    Fax: (270) 842-5268

    Type: Mailing

  • PO BOX 990

    DANVILLE, KY 404230990

    Phone: (859) 239-2360

    Fax: (859) 239-5579

    Type: Mailing

  • 120 DANIEL DR

    DANVILLE, KY 404222527

    Phone: (859) 239-5570

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 214 Open Payments records for all available years, with a total value of $3,768.

Total Amount is formed as General ($3,768) + Research ($0) + Ownership ($0) = $3,768.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($582).

Total Amount

$3,768

General + Research + Ownership

Payments

214

Total payment records

General Amount

$3,768

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-05-11

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
I20100511000132IPsychiatryKYTBD

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 minutes15173$0
99213Established patient office or other outpatient visit, 20-29 minutes7442$0
90792Psychiatric diagnostic evaluation with medical services2020$0
View full utilization report →

Insurance plans in this area (ZIP 42103)

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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: 7517876956View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Registered Nurse Anesthetist (Crna)IN
-KY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Internal Medicine, HospitalistKY
Nurse PractitionerKY
Certified Registered Nurse Anesthetist (Crna)KY
-OH

Reviews

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Frequently asked questions

What NPI should I save for STUART LARSON (MD)?
Save NPI 1124178009 if you need a stable reference for STUART LARSON (MD).
Is STUART LARSON (MD)'s NPI currently valid?
The extract we use shows STUART LARSON (MD) as active.
Can you summarize STUART LARSON (MD)'s specialty in plain language?
Clinically, the directory lists STUART LARSON (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for STUART LARSON (MD)?
The page summarizes Bowling Green, Kentucky for STUART LARSON (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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