ROBERT M LARSON (MD) – Pediatrics Physician, NPI 1730167768

ROBERT M LARSON (MD) is a healthcare provider. based in Mankato, Minnesota. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 21174 (MN). The NPI Number for ROBERT M LARSON (MD) is 1730167768

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT M LARSON (MD)
NPI
1730167768
Phone
(507) 625-1811
Address
1230 E MAIN ST
Enumeration Date
9 January 2006
Last Update Date
10 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076255027
Graduation Year
1969 (57 years ago)
PAC ID
7012927775
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20060426000513
Address ID
MN560032503NO1575XDRXX300

Contacts

Secure Messaging
robertlarson@mklt.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

717 PEDIATRIC MEDICINE in MN

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Provider Addresses for ROBERT M LARSON (MD)

  • Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    PO BOX 8674

    MANKATO, MN 560028674

    Phone: (507) 625-1811

    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 25 Open Payments records for all available years, with a total value of $996.

Total Amount is formed as General ($352) + Research ($643) + Ownership ($0) = $996.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Dexcom, Inc. ($678).

Total Amount

$996

General + Research + Ownership

Payments

25

Total payment records

General Amount

$352

General payments

Research Amount

$643

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2006-04-26

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
I20060426000513IPediatric 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes3213$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report2912$0
View full utilization report →

Insurance plans in this area (ZIP 56002)

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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: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
-MN
General SurgeryMN
Diagnostic Radiology, Internal MedicineMN

Reviews

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Frequently asked questions

Does ROBERT M LARSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ROBERT M LARSON (MD) uses 1730167768.
Is ROBERT M LARSON (MD) listed as active for patients and plans?
The listing shows ROBERT M LARSON (MD) as active in the NPI system.
What taxonomy line describes ROBERT M LARSON (MD)?
For research purposes, treat ROBERT M LARSON (MD) as Pediatrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does ROBERT M LARSON (MD) list a practice location?
Patients near Mankato, Minnesota may find ROBERT M LARSON (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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