TIMOTHY L LARSON (PA-C) – Physician Assistant, NPI 1982630828

TIMOTHY L LARSON (PA-C) is a healthcare provider. based in Marshall, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0386 (SD). The NPI Number for TIMOTHY L LARSON (PA-C) is 1982630828

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY L LARSON (PA-C)
NPI
1982630828
Phone
(507) 929-7696
Address
1401 NWAKAMA ST
Enumeration Date
23 June 2006
Last Update Date
31 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6058827000
Graduation Year
1997 (29 years ago)
PAC ID
5698804458
Group Practice PAC ID
8628987823
Professional Enrollment ID
I20150216001452
Address ID
SD572011548WA401XXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

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Provider Addresses for TIMOTHY L LARSON (PA-C)

  • 1401, Nwakama Street, Marshall, Lyon County, Minnesota, 56258, United States

    MARSHALL, MN 562585529

    Phone: (507) 929-7696

    Fax: (507) 393-7697

    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 4 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Stryker Corporation ($97).

Total Amount

$97

General + Research + Ownership

Payments

4

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$97
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: 2015-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100603000883IPhysician AssistantMNTBD
I20150216001452IPhysician AssistantSDTBD

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
27447Replacement of knee joint, both sides of knee4241$0
View full utilization report →

Insurance plans in this area (ZIP 56258)

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Provider's Procedures

TIMOTHY L LARSON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMN27447Repair of knee joint3835

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: 8628987823View full group profile
NameSpecialtyState
Nurse PractitionerSD
Cardiovascular Disease (Cardiology), Interventional CardiologyOH
Certified Registered Nurse Anesthetist (Crna)SD
Certified Registered Nurse Anesthetist (Crna)MN
Emergency Medicine, Family PracticeSD
-SD
Orthopedic SurgerySD
Certified Registered Nurse Anesthetist (Crna)SD
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerSD

Reviews

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Frequently asked questions

Where can patients find TIMOTHY L LARSON (PA-C)'s NPI?
You can confirm TIMOTHY L LARSON (PA-C) with NPI 1982630828; it appears in the national provider directory.
Is TIMOTHY L LARSON (PA-C) currently active in the NPI registry?
CMS-published data lists TIMOTHY L LARSON (PA-C) as an active registrant.
Does TIMOTHY L LARSON (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for TIMOTHY L LARSON (PA-C). Clinical services aligned with this taxonomy classification.
Does TIMOTHY L LARSON (PA-C) practice in Minnesota?
You will see Marshall, Minnesota on file for TIMOTHY L LARSON (PA-C) alongside any extra practice locations.
How can I contact TIMOTHY L LARSON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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