DR. DOUGLAS GLEN LARSON (M.D.) – Diagnostic Radiology Physician, NPI 1003064999
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
353 DIAGNOSTIC RADIOLOGY in NV
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Provider Addresses for DR. DOUGLAS GLEN LARSON (M.D.)
2020, Palomino Lane, Rancho Circle, Las Vegas, Clark County, Nevada, 89106, United States
#100
LAS VEGAS, NV 891064842
Phone: (702) 759-8600
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)
No Open Payments data available for this provider.
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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: 2022-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20140529001281 | I | Diagnostic Radiology | NV | TBD |
| I20150724010737 | I | Diagnostic Radiology | OR | TBD |
| I20221215002116 | I | Diagnostic Radiology | AK | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,456 | 23 | $0 |
| 71045 | X-ray of chest, 1 view | 632 | 587 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 627 | 606 | $0 |
| 77067 | Screening mammography | 579 | 579 | $0 |
| 77063 | Screening 3d breast mammography | 577 | 577 | $0 |
Insurance plans in this area (ZIP 89106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NV | 71250 | CT scan chest | 161 | 153 |
| DIAGNOSTIC RADIOLOGY | NV | 73630 | X-ray of foot, minimum of 3 views | 20 | 17 |
| DIAGNOSTIC RADIOLOGY | NV | 74177 | CT scan of abdomen and pelvis with contrast | 184 | 178 |
| DIAGNOSTIC RADIOLOGY | NV | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 56 | 56 |
| DIAGNOSTIC RADIOLOGY | NV | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 34 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | NV | |
| - | NV | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| - | MN | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV |
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