RODNEY J. LARSEN (M.D.) – Specialist, NPI 1518042571

RODNEY J. LARSEN (M.D.) is a healthcare provider. based in Agawam, Massachusetts. specializing in Specialist. They hold the professional credentials M.D.. They hold a License No. 38727 (MA). The NPI Number for RODNEY J. LARSEN (M.D.) is 1518042571

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
RODNEY J. LARSEN (M.D.)
NPI
1518042571
Phone
(413) 786-9636
Address
1 S END BRIDGE CIR
Enumeration Date
26 October 2006
Last Update Date
11 June 2008

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4135624131
Graduation Year
1974 (52 years ago)
PAC ID
2163457011
Group Practice PAC ID
0648356238
Professional Enrollment ID
I20050929000689
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

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Provider Addresses for RODNEY J. LARSEN (M.D.)

  • South End Bridge, Agawam, Hampden County, Massachusetts, 01108, United States

    AGAWAM, MA 010012020

    Phone: (413) 786-9636

    Fax: (413) 789-6818

    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)

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: 2005-09-29

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
I20050929000689IInternal MedicineMATBD

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 01001)

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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: 0648356238View full group profile
NameSpecialtyState
-MA
Nurse PractitionerCT
Nurse PractitionerMA
-MA
Internal Medicine, Pediatric MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
-MA

Reviews

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Frequently asked questions

How do payers reference RODNEY J. LARSEN (M.D.)?
For RODNEY J. LARSEN (M.D.), use NPI 1518042571 as the unique 10-digit identifier.
Is RODNEY J. LARSEN (M.D.) shown as active in public data?
Registry records indicate RODNEY J. LARSEN (M.D.) maintains an active NPI.
What clinical focus is listed for RODNEY J. LARSEN (M.D.)?
At a glance, RODNEY J. LARSEN (M.D.) is tied to Other Service Providers. Clinical services aligned with this taxonomy classification.
Is RODNEY J. LARSEN (M.D.) located near Agawam?
RODNEY J. LARSEN (M.D.) currently maps to Agawam, Massachusetts in this extract.
Does RODNEY J. LARSEN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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