BRETT C LARSEN (PA) – Physician Assistant, NPI 1639367337
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Loading map...
Provider Addresses for BRETT C LARSEN (PA)
210, West 300 North, Roosevelt, Duchesne County, Utah, 84066, United States
75-3
ROOSEVELT, UT 840662336
Phone: (435) 722-3971
Fax: (435) 722-9291
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20080424000085 | I | Physician Assistant | UT | TBD |
| I20240930003628 | I | Physician Assistant | MS | TBD |
| I20251029002488 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 86 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 32 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 13 | 11 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 13 | 12 | $0 |
Insurance plans in this area (ZIP 84066)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | LA | |
| General Surgery | MS | |
| Nurse Practitioner | MS | |
| - | MS | |
| Nurse Practitioner | MS | |
| - | MS |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.