MRS. KATHERINE MCCOURT ROBINSON LARSON (PA C) – Physician Assistant, NPI 1154315133
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for MRS. KATHERINE MCCOURT ROBINSON LARSON (PA C)
4725 36TH AVE N
MINNEAPOLIS, MN 554222169
Phone: (952) 808-7393
Fax: (950) 808-7387
Type: Mailing
820 SPRINGER DR
LOMBARD, IL 601486413
Phone: (815) 744-8554
Type: Mailing
Centennial Lakes Medical Center, 7373, France Avenue South, Centennial Lakes, Edina, Hennepin County, Minnesota, 55435-4534, United States
SUITE 408
EDINA, MN 554354534
Phone: (952) 808-7393
Fax: (950) 808-7387
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $265.
Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($43).
Total Amount
$265
General + Research + Ownership
Payments
17
Total payment records
General Amount
$265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $43 |
| Fresenius Kabi USA, LLC | $41 |
| Janssen Biotech, Inc. | $31 |
| Lilly USA, LLC | $28 |
| UCB, Inc. | $18 |
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: 2006-09-15
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 |
|---|---|---|---|---|
| I20060915000352 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 319 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 185 | 124 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 139 | 93 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 76 | 65 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 74 | 58 | $0 |
Insurance plans in this area (ZIP 55422)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| D E R M A T O L O G Y | TX | |
| Dermatology, Dermatology, Pathology | VA | |
| Physician Assistant | MN | |
| Plastic And Reconstructive Surgery | IL | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IL |
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