BRUCE DAVIN LARSON (MD) – Psychiatry Physician, NPI 1003823840

BRUCE DAVIN LARSON (MD) is a healthcare provider. based in Kirkland, Washington. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD00044773 (WA). The NPI Number for BRUCE DAVIN LARSON (MD) is 1003823840

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE DAVIN LARSON (MD)
NPI
1003823840
Phone
(425) 821-2000
Address
10200 NE 132ND ST
Enumeration Date
2 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
2063202000
Graduation Year
2001 (25 years ago)
PAC ID
2860457629
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20051027001002
Address ID
WA981225711SE500XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

710 PSYCHIATRY in WA

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Provider Addresses for BRUCE DAVIN LARSON (MD)

  • Fairfax Hospital, 10200, Northeast 132nd Street, Kirkland, King County, Washington, 98034, United States

    KIRKLAND, WA 980342831

    Phone: (425) 821-2000

    Mailing address matches the actual address.

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: 2005-10-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051027001002IPsychiatryWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19340$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes15534$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7023$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2222$0
99239Hospital discharge day management, more than 30 minutes2117$0
View full utilization report →

Insurance plans in this area (ZIP 98034)

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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: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND
Critical Care (Intensivists), Pulmonary DiseaseWA

Reviews

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Frequently asked questions

What is the standard ID for BRUCE DAVIN LARSON (MD) in the U.S.?
In the U.S., BRUCE DAVIN LARSON (MD) is identified by NPI 1003823840.
Should I treat BRUCE DAVIN LARSON (MD) as an active provider?
Patients and plans typically see BRUCE DAVIN LARSON (MD) as active in the national extract.
What services align with BRUCE DAVIN LARSON (MD)'s listing?
BRUCE DAVIN LARSON (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to BRUCE DAVIN LARSON (MD)?
BRUCE DAVIN LARSON (MD) shows a connection to Kirkland, Washington in registry-derived data.
Can I export BRUCE DAVIN LARSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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