DR. LARISA KLOTS (DO) – Family Medicine Physician, NPI 1053361550

DR. LARISA KLOTS (DO) is a healthcare provider. based in East brunswick, New Jersey. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. MB71358 (NJ). The NPI Number for DR. LARISA KLOTS (DO) is 1053361550

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARISA KLOTS (DO)
NPI
1053361550
Phone
(732) 254-1114
Address
11 BUFFALO RUN
Enumeration Date
12 May 2006
Last Update Date
24 September 2013

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
7322541114
Graduation Year
1997 (29 years ago)
PAC ID
0446248868
Professional Enrollment ID
I20040504001424
Address ID
NJ088164078EAB3XXXCTXX400
Telehealth
Yes
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

2,520 FAMILY PRACTICE in NJ

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Provider Addresses for DR. LARISA KLOTS (DO)

  • 11, Buffalo Run, Gillilandtown, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088164078

    Phone: (732) 254-1114

    Fax: (732) 254-2247

    Type: Mailing

  • Brier Hill Court, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088163330

    Phone: (732) 254-1114

    Fax: (732) 254-2247

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: ABBVIE INC. ($88).

Total Amount

$209

General + Research + Ownership

Payments

14

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2004-05-04

PECOS data refreshed: 2026-06-15

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
I20040504001424IFamily PracticeNJTBD

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 minutes732231$0
36415Insertion of needle into vein for collection of blood sample235152$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes213213$0
G0442Annual alcohol misuse screening, 5 to 15 minutes213213$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit185185$0
View full utilization report →

Insurance plans in this area (ZIP 08816)

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Reviews

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Frequently asked questions

What NPI should I save for DR. LARISA KLOTS (DO)?
Save NPI 1053361550 if you need a stable reference for DR. LARISA KLOTS (DO).
Is DR. LARISA KLOTS (DO)'s NPI currently valid?
The extract we use shows DR. LARISA KLOTS (DO) as active.
What kind of provider is DR. LARISA KLOTS (DO)?
The page reflects Family Medicine Physician for DR. LARISA KLOTS (DO). Clinical services aligned with this taxonomy classification.
What location shows for DR. LARISA KLOTS (DO)?
We surface East Brunswick, New Jersey for DR. LARISA KLOTS (DO) based on available NPPES addresses.
Is DR. LARISA KLOTS (DO) a real provider?
This page reflects official NPPES data for NPI 1053361550. Always confirm identity and privileges with the practice and licensing boards.

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