DR. JEFFREY LARSON (M.D.) – Pulmonary Disease Physician, NPI 1255864823

DR. JEFFREY LARSON (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 67682 (MN). The NPI Number for DR. JEFFREY LARSON (M.D.) is 1255864823

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY LARSON (M.D.)
NPI
1255864823
Phone
(612) 873-4733
Address
701 Park Ave
Enumeration Date
10 April 2017
Last Update Date
3 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635202940
Graduation Year
2017 (9 years ago)
PAC ID
5496172942
Group Practice PAC ID
6204736853
Professional Enrollment ID
I20200828000507
Address ID
MN554222948RO3366XNXXX406

Contacts

Other Endpoint
michelle.herbers@hcmed.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

3,638 INTERNAL MEDICINE in MN

Provider Addresses for DR. JEFFREY LARSON (M.D.)

  • 701 Park Ave

    Minneapolis, MN 554151623

    Phone: (612) 873-4733

    Type: Location

  • Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone: (612) 873-4733

    Type: Mailing

  • 2800 CAMPUS DR STE 10

    PLYMOUTH, MN 554418812

    Phone: (763) 398-4400

    Type: Mailing

  • 3366 OAKDALE AVE N STE 401

    ROBBINSDALE, MN 554222986

    Phone: (763) 398-6383

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-12-15 • Largest payer in this snapshot: Inari Medical, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$21
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: 2020-08-28

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
I20200828000507IInternal MedicineMNTBD

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 55415)

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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: 6204736853View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineWI
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Pulmonary DiseaseIA
Internal MedicineMN
Internal MedicineMN
Nurse PractitionerMN
Internal Medicine, Critical Care (Intensivists)MN
Internal MedicineIL
Critical Care (Intensivists)NC
Internal MedicineMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JEFFREY LARSON (M.D.)'s NPI?
Yes. DR. JEFFREY LARSON (M.D.) is listed with NPI 1255864823 in the public NPI dataset.
Does the file indicate DR. JEFFREY LARSON (M.D.) is practicing under active NPI?
Directory data currently reports DR. JEFFREY LARSON (M.D.) as active.
What is DR. JEFFREY LARSON (M.D.)'s specialty?
The listing groups DR. JEFFREY LARSON (M.D.) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. JEFFREY LARSON (M.D.) list a practice location?
Patients near Minneapolis, Minnesota may find DR. JEFFREY LARSON (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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