DR. TERRY LEE LARSEN (D.O.) – Surgery Physician, NPI 1144340712
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
83 GENERAL SURGERY in VT
Provider Addresses for DR. TERRY LEE LARSEN (D.O.)
1315 Hospital Dr
St Johnsbury, VT 058199210
Phone: (802) 748-8141
Type: Location
1315 HOSPITAL DR
ST JOHNSBURY, VT 058199210
Phone: (802) 748-8141
Type: Location
205 ORCHARD DR
SISSETON, SD 572622312
Phone: (605) 698-4665
Fax: (605) 698-6401
Type: Location
PO BOX 905
ST JOHNSBURY, VT 058190905
Phone: (802) 748-8141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $276.
Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($108).
Total Amount
$276
General + Research + Ownership
Payments
10
Total payment records
General Amount
$276
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $108 |
| Smith+Nephew, Inc. | $86 |
| MIMEDX Group, Inc. | $35 |
| Amgen Inc. | $33 |
| KCI USA, Inc. | $13 |
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: 2023-12-19
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 |
|---|---|---|---|---|
| I20231219002419 | I | General Surgery | SD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05819)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| P O D I A T R Y | SD | |
| P A T H O L O G Y | SD | |
| Nurse Practitioner | SD | |
| P A T H O L O G Y | SD | |
| Family Practice | TX | |
| P A T H O L O G Y | SD | |
| P A T H O L O G Y | SD | |
| - | SD | |
| Certified Registered Nurse Anesthetist (Crna) | SD |
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