PHILIP J LARSEN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1245222181

PHILIP J LARSEN (DPM) is a healthcare provider. based in Henderson, Nevada. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 0005 (NV). The NPI Number for PHILIP J LARSEN (DPM) is 1245222181

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP J LARSEN (DPM)
NPI
1245222181
Phone
(702) 456-3668
Address
10561 JEFFREYS ST
Enumeration Date
17 August 2005
Last Update Date
3 February 2014

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7024563668
Graduation Year
1998 (28 years ago)
PAC ID
0244225514
Group Practice PAC ID
1759374556
Professional Enrollment ID
I20040416000437
Address ID
NV890524267HE10561STXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

120 PODIATRY in NV

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Provider Addresses for PHILIP J LARSEN (DPM)

  • 10561, Jeffreys Street, Seven Hills, Henderson, Clark County, Nevada, 89052, United States

    #110

    HENDERSON, NV 890524266

    Phone: (702) 456-3668

    Fax: (702) 456-6688

    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 54 Open Payments records for all available years, with a total value of $1,456.

Total Amount is formed as General ($1,456) + Research ($0) + Ownership ($0) = $1,456.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($500).

Total Amount

$1,456

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2004-04-16

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
I20040416000437IPodiatryNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes869354$0
73630X-ray of foot, minimum of 3 views236121$0
11042Removal of skin and tissue, 20.0 sq cm or less19624$0
11056Removal of noncancer thickened skin growth, 2-4 growths19062$0
11721Removal of fingernails or toenails, 6 or more nails17568$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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Provider's Procedures

PHILIP J LARSEN (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYNV11056Removal of 2 to 4 thickened skin growths19564
PODIATRYNV73630X-ray of foot, minimum of 3 views168109

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: 1759374556View full group profile
NameSpecialtyState
P O D I A T R YNV
-NV
P O D I A T R YNV

Reviews

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Frequently asked questions

What federal number belongs to PHILIP J LARSEN (DPM)?
The federal identifier for PHILIP J LARSEN (DPM) is NPI 1245222181.
Does this profile mean PHILIP J LARSEN (DPM) is currently active?
Yes — PHILIP J LARSEN (DPM) appears active in the national provider directory.
What field does PHILIP J LARSEN (DPM) work in?
You can think of PHILIP J LARSEN (DPM) as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where is PHILIP J LARSEN (DPM)'s primary listing?
We display Henderson, Nevada because that is what the record indicates for PHILIP J LARSEN (DPM).
How can I contact PHILIP J LARSEN (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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