STEPHANIE LARSON (D.O.) – Emergency Medicine Physician, NPI 1285924175

STEPHANIE LARSON (D.O.) is a healthcare provider. based in Erie, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. OT013414 (PA). The NPI Number for STEPHANIE LARSON (D.O.) is 1285924175

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE LARSON (D.O.)
NPI
1285924175
Phone
(814) 452-5105
Address
2314 SASSAFRAS ST
Enumeration Date
12 April 2011
Last Update Date
12 April 2011

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8003670179
Graduation Year
2010 (16 years ago)
PAC ID
7810146545
Group Practice PAC ID
3375529183
Professional Enrollment ID
I20121012000293
Address ID
PA168036702ST155XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for STEPHANIE LARSON (D.O.)

  • 2314 SASSAFRAS ST

    3RD FLOOR

    ERIE, PA 165022722

    Phone: (814) 452-5105

    Fax: (814) 452-5097

    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.

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: 2012-10-12

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
I20121012000293IEmergency MedicinePATBD

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
99285Emergency department visit with high level of medical decision making121111$0
99284Emergency department visit with moderate level of medical decision making7068$0
99291Critical care, first 30-74 minutes2019$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 16502)

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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: 3375529183View full group profile

Reviews

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Frequently asked questions

Does STEPHANIE LARSON (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEPHANIE LARSON (D.O.) uses 1285924175.
Does the file indicate STEPHANIE LARSON (D.O.) is practicing under active NPI?
Directory data currently reports STEPHANIE LARSON (D.O.) as active.
What taxonomy line describes STEPHANIE LARSON (D.O.)?
For research purposes, treat STEPHANIE LARSON (D.O.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE LARSON (D.O.) on a map?
Expect Erie, Pennsylvania as a primary anchor for STEPHANIE LARSON (D.O.) unless the record lists multiple sites.
Is the information about STEPHANIE LARSON (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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