DR. MARK W LARSON (M.D.) – Specialist, NPI 1194784090

DR. MARK W LARSON (M.D.) is a healthcare provider. based in Ellensburg, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD00035733 (WA). The NPI Number for DR. MARK W LARSON (M.D.) is 1194784090

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK W LARSON (M.D.)
NPI
1194784090
Phone
(303) 390-1940
Address
603 S Chestnut St
Enumeration Date
20 March 2006
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5099629841
Graduation Year
1989 (37 years ago)
PAC ID
8628114535
Group Practice PAC ID
0345467486
Professional Enrollment ID
I20091007000327
Address ID
WA989263875EL603XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. MARK W LARSON (M.D.)

  • 603 S Chestnut St

    Ellensburg, WA 989263875

    Phone: (303) 390-1940

    Type: Location

  • 716, East Manitoba Avenue, Ellensburg, Kittitas County, Washington, 98926, United States

    ELLENSBURG, WA 989263842

    Phone: (509) 925-3151

    Type: Mailing

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: 2009-10-07

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
I20091007000327IFamily PracticeWATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes261113$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes163144$0
99239Hospital discharge day management, more than 30 minutes146135$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3517$0
99238Hospital discharge day management, 30 minutes or less1717$0
View full utilization report →

Insurance plans in this area (ZIP 98926)

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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: 0345467486View full group profile
NameSpecialtyState
-CO
Pulmonary Disease, Critical Care (Intensivists), Critical Care (Intensivists), Pulmonary Disease, Internal MedicineWA
Internal MedicineAZ
Hospitalist, Internal Medicine, Osteopathic Manipulative MedicineCO
-CO
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Critical Care (Intensivists)WA
Family PracticeCO
Hospitalist, Internal Medicine, Internal MedicineND
Pulmonary Disease, Pulmonary Disease, Internal MedicineWA
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MARK W LARSON (M.D.)'s NPI?
Yes. DR. MARK W LARSON (M.D.) is listed with NPI 1194784090 in the public NPI dataset.
Can I rely on DR. MARK W LARSON (M.D.) being an active provider?
As of the registry snapshot, DR. MARK W LARSON (M.D.) is marked active.
What healthcare role does DR. MARK W LARSON (M.D.) hold?
Scheduling teams often label DR. MARK W LARSON (M.D.) under Other Service Providers. Clinical services aligned with this taxonomy classification.
What area does DR. MARK W LARSON (M.D.) serve?
DR. MARK W LARSON (M.D.)'s listing highlights Ellensburg, Washington; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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