LARISSA L. GARTH (PA-C) – Physician Assistant, NPI 1487096947
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for LARISSA L. GARTH (PA-C)
1901 SW H K DODGEN LOOP BLDG 300
TEMPLE, TX 765021814
Phone: (254) 724-5437
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone:
Type: Mailing
400 Union Ave SE Ste 240
Olympia, WA 985012060
Phone: (469) 257-3500
Fax: (949) 569-1295
Type: Location
5702 E Central Texas Expy
Killeen, TX 765435500
Phone: (469) 257-3500
Type: Location
1901 SW H K Dodgen Loop Bldg 300
Temple, TX 765021814
Phone: (469) 257-3500
Type: Location
128 Chestnut St Ste 303A2
Philadelphia, PA 191063024
Phone: (469) 257-3500
Fax: (949) 569-1295
Type: Location
3600 Darnall Loop
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544
Phone: (254) 286-7326
Type: Location
2025 Memory Ln Ste 300
Harker Heights, TX 765487488
Phone: (469) 257-3500
Fax: (949) 569-1295
Type: Location
4132 TURNING LEAF DR
NOLANVILLE, TX 765590040
Phone: (469) 257-3500
Type: Mailing
2719 S EL CAMINO REAL
SAN CLEMENTE, CA 926723354
Phone: (469) 257-3500
Fax: (949) 569-1295
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: 2023-12-20
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 |
|---|---|---|---|---|
| I20170831000624 | I | Physician Assistant | TX | TBD |
| I20231220004142 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 125 | 98 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 43 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 37 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $0 |
| 81003 | Automated urinalysis test | 12 | 11 | $0 |
Insurance plans in this area (ZIP 76502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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