DR. SHELLY LEA LARSON-PETERS (M.D.) – Neurology Physician, NPI 1336333509
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
640 NEUROLOGY in MN
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Provider Addresses for DR. SHELLY LEA LARSON-PETERS (M.D.)
Chicago Av, East Franklin Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States
SUITE 200
MINNEAPOLIS, MN 554071544
Phone: (612) 879-1000
Fax: (612) 879-9116
Type: Mailing
3601 MINNESOTA DR STE 200
BLOOMINGTON, MN 554355281
Phone: (612) 879-1000
Fax: (612) 879-9116
Type: Mailing
Ulysses St, Paul Parkway Northeast, Johnsville, Blaine, Anoka County, Minnesota, 55434, United States
SUITE 100
BLAINE, MN 554344238
Phone: (612) 879-1000
Fax: (612) 879-9116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $25,752.
Total Amount is formed as General ($25,752) + Research ($0) + Ownership ($0) = $25,752.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: TG Therapeutics, Inc. ($13,086).
Total Amount
$25,752
General + Research + Ownership
Payments
25
Total payment records
General Amount
$25,752
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TG Therapeutics, Inc. | $13,086 |
| Biogen, Inc. | $12,509 |
| Genentech USA, Inc. | $158 |
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: 2009-10-15
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 |
|---|---|---|---|---|
| I20091015000104 | I | Neurology | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 5,640 | 15 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 405 | 25 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 189 | 166 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 141 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 86 | 56 | $0 |
Insurance plans in this area (ZIP 55407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MN | |
| N E U R O L O G Y | MN | |
| - | MN | |
| Clinical Psychologist | IN | |
| Physician Assistant | MN | |
| - | MN | |
| N E U R O L O G Y | MN | |
| Physician Assistant | MN | |
| N E U R O L O G Y | MN | |
| N E U R O L O G Y | MN |
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