DR. PAUL RICHARD LARSEN (MD) – Family Medicine Physician, NPI 1720189749
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for DR. PAUL RICHARD LARSEN (MD)
100 W SOUTH AVE
CHEWELAH, WA 99019
Phone: (509) 935-8111
Fax: (509) 935-8402
Type: Location
421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States
LIBERTY LAKE, WA 990190421
Phone: (866) 747-2455
Fax: (509) 944-9644
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 $162.
Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($67).
Total Amount
$162
General + Research + Ownership
Payments
10
Total payment records
General Amount
$162
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-06-17
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 |
|---|---|---|---|---|
| I20040617001041 | I | Family Practice | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 325 | 187 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 241 | 144 | $0 |
| 85610 | Blood test, clotting time | 137 | 18 | $0 |
| 83036 | Hemoglobin a1c level | 104 | 49 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 77 | 34 | $0 |
Insurance plans in this area (ZIP 99019)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 85610 | Blood test, clotting time | 222 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Nurse Practitioner | WA | |
| Family Practice, Obstetrics/Gynecology | WA | |
| Clinical Social Worker | WA | |
| Family Practice | WA | |
| Physician Assistant | WA | |
| Family Practice | WA | |
| Clinical Social Worker | WA | |
| Nurse Practitioner | WA | |
| Marriage And Family Therapist | WA |
Reviews
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