JOHNNY LARSEN (DO) – Emergency Medicine Physician, NPI 1417976341
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JOHNNY LARSEN (DO)
PO BOX 717
LIVINGSTON, NJ 070390717
Phone: (973) 740-0607
Type: Mailing
Monmouth Medical Center, Southern Campus, 600, River Avenue, Seven Stars, Lakewood, Ocean County, New Jersey, 08701, United States
KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 087015237
Phone: (732) 363-1900
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101213000640 | I | Emergency Medicine | NJ | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 113 | 111 | $0 |
| 99183 | Management of oxygen chamber therapy | 81 | 12 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 50 | 49 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 46 | 45 | $0 |
| 99291 | Critical care, first 30-74 minutes | 25 | 24 | $0 |
Insurance plans in this area (ZIP 07039)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| - | NJ | |
| - | NJ |
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