PEYTON LARUS – Physician Assistant, NPI 1265076400

PEYTON LARUS is a healthcare provider. based in Midlothian, Virginia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 4104 (SC). The NPI Number for PEYTON LARUS is 1265076400

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
PEYTON LARUS
NPI
1265076400
Phone
(804) 920-1338
Address
12712 LAKESTONE DR
Enumeration Date
31 October 2019
Last Update Date
22 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8044830000
Graduation Year
2021 (5 years ago)
PAC ID
7214326057
Group Practice PAC ID
7618235995
Professional Enrollment ID
I20251106003896
Address ID
VA232254017RI7101XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for PEYTON LARUS

  • 12712 LAKESTONE DR

    MIDLOTHIAN, VA 231143197

    Phone: (804) 920-1338

    Type: Mailing

  • 920 DOUG WHITE DR STE 210

    MYRTLE BEACH, SC 295724181

    Phone: (843) 497-6348

    Fax: (843) 497-6351

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $757.

Total Amount is formed as General ($757) + Research ($0) + Ownership ($0) = $757.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($481).

Total Amount

$757

General + Research + Ownership

Payments

6

Total payment records

General Amount

$757

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-11-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211116001955IPhysician AssistantSCTBD
I20251106003896IPhysician AssistantVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23114)

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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: 7618235995View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)TX
General SurgeryAL
Physician AssistantOH
Physician AssistantVA
General SurgeryFL
Physician AssistantMD
General SurgeryNC
Physician AssistantVA
-VA
Physician AssistantVA

Reviews

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Frequently asked questions

Is there an official ID for PEYTON LARUS in U.S. healthcare records?
The official identifier for PEYTON LARUS is NPI 1265076400.
Active or inactive — what applies to PEYTON LARUS?
You should see PEYTON LARUS as active in CMS-hosted NPPES data.
What clinical focus is listed for PEYTON LARUS?
At a glance, PEYTON LARUS is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PEYTON LARUS?
Travel planning: use Midlothian, Virginia as the reference point for PEYTON LARUS, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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