MARTIN GORDON LARSEN (DO) – Student in an Organized Health Care Education/Training Program, NPI 1043897259
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
520 EMERGENCY MEDICINE in NV
Provider Addresses for MARTIN GORDON LARSEN (DO)
3100 N Tenaya Way
Las Vegas, NV 891280436
Phone: (702) 926-9546
Type: Location
1380 E MEDICAL CENTER DR
ST GEORGE, UT 847902123
Phone: (435) 251-1000
Type: Location
3100 N TENAYA WAY
LAS VEGAS, NV 891280436
Phone: (702) 926-9546
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $139.
Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($124).
Total Amount
$139
General + Research + Ownership
Payments
2
Total payment records
General Amount
$139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $124 |
| Teleflex LLC | $15 |
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: 2023-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231109000433 | I | Emergency Medicine | UT | TBD |
| I20231122003116 | I | Emergency Medicine | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CO | |
| Diagnostic Radiology, Interventional Radiology | OR | |
| P O D I A T R Y | UT | |
| Diagnostic Radiology | OR | |
| P O D I A T R Y | WA | |
| Physician Assistant | UT | |
| Emergency Medicine | NV | |
| Family Practice | PA | |
| Diagnostic Radiology | OR | |
| Mental Health Counselor | UT |
Reviews
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