EUGENE DOUGLAS JR. LARSEN (DO) – Internal Medicine Physician, NPI 1447513221
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
903 INTERNAL MEDICINE in UT
Provider Addresses for EUGENE DOUGLAS JR. LARSEN (DO)
415 N 1095 W
PRICE, UT 845014243
Phone: (435) 637-5690
Fax: (435) 637-9809
Type: Mailing
280 N HOSPITAL DR STE 4
PRICE, UT 84501
Phone: (435) 637-5690
Fax: (435) 637-9809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($38).
Total Amount
$86
General + Research + Ownership
Payments
5
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-09-03
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 |
|---|---|---|---|---|
| I20150903001782 | I | Internal Medicine | UT | 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 | 983 | 316 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 406 | 251 | $0 |
| 83036 | Hemoglobin a1c level | 303 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 248 | 136 | $0 |
| 99497 | Advance care planning, first 30 minutes | 241 | 241 | $0 |
Insurance plans in this area (ZIP 84501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | UT | 83036 | Hemoglobin A1C level | 46 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Pediatric Medicine, Internal Medicine | UT | |
| P O D I A T R Y | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Internal Medicine, Pediatric Medicine | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Interventional Cardiology, Nuclear Medicine | UT |
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