MATTHEW ANTHONY LARSEN (PA-C) – Physician Assistant, NPI 1255569794

MATTHEW ANTHONY LARSEN (PA-C) is a healthcare provider. based in Cedar springs, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005508 (MI). The NPI Number for MATTHEW ANTHONY LARSEN (PA-C) is 1255569794

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW ANTHONY LARSEN (PA-C)
NPI
1255569794
Phone
(616) 696-2020
Address
261 N MAIN
Enumeration Date
23 June 2009
Last Update Date
23 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166962020
Graduation Year
2009 (17 years ago)
PAC ID
0941355762
Group Practice PAC ID
4082653423
Professional Enrollment ID
I20090909000359
Address ID
MI493198041CE261XXMAIN300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MATTHEW ANTHONY LARSEN (PA-C)

  • Cedar Springs, Kent County, Michigan, 49319, United States

    PO BOX 221 K

    CEDAR SPRINGS, MI 493198041

    Phone: (616) 696-2020

    Fax: (616) 696-4860

    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 29 Open Payments records for all available years, with a total value of $567.

Total Amount is formed as General ($567) + Research ($0) + Ownership ($0) = $567.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($137).

Total Amount

$567

General + Research + Ownership

Payments

29

Total payment records

General Amount

$567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

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: 2009-09-09

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
I20090909000359IPhysician AssistantMITBD

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 49319)

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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: 4082653423View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I cross-check MATTHEW ANTHONY LARSEN (PA-C) using NPI 1255569794?
NPI 1255569794 belongs to MATTHEW ANTHONY LARSEN (PA-C); compare other details if you need extra assurance.
Is MATTHEW ANTHONY LARSEN (PA-C) shown as active in public data?
Registry records indicate MATTHEW ANTHONY LARSEN (PA-C) maintains an active NPI.
What area of care is associated with MATTHEW ANTHONY LARSEN (PA-C)?
MATTHEW ANTHONY LARSEN (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Michigan is MATTHEW ANTHONY LARSEN (PA-C) registered?
Use Cedar Springs, Michigan as the headline location for MATTHEW ANTHONY LARSEN (PA-C) here.
Can I trust this NPI listing for MATTHEW ANTHONY LARSEN (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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