JEFFREY D LARSEN (MD) – Internal Medicine Physician, NPI 1104819622
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,939 INTERNAL MEDICINE in WI
Provider Addresses for JEFFREY D LARSEN (MD)
1700 UNIVERSITY AVE W # 6TH
SAINT PAUL, MN 551043727
Phone: (651) 232-1123
Type: Mailing
319 S MAIN ST
RIVER FALLS, WI 540222452
Phone: (715) 425-6701
Type: Location
Vibrant Health Family Clinics, 1687, East Division Street, River Falls, Saint Croix County, Wisconsin, 54022, United States
RIVER FALLS, WI 54022
Phone: (715) 425-6701
Fax: (715) 425-7075
Type: Mailing
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 $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($44).
Total Amount
$102
General + Research + Ownership
Payments
7
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100715000089 | I | Internal Medicine | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 419 | 196 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 360 | 187 | $0 |
| 85610 | Blood test, clotting time | 183 | 16 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 112 | 112 | $0 |
| 83036 | Hemoglobin a1c level | 110 | 78 | $0 |
Insurance plans in this area (ZIP 55104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| Family Practice | IL | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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