JEFFREY D. LARSON (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1144266479
Plastic and Reconstructive Surgery Physician
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NPPES metrics only — not quality of care.
125 PLASTIC AND RECONSTRUCTIVE SURGERY in WI
Provider Addresses for JEFFREY D. LARSON (M.D.)
6408 Copps Ave
Monona, WI 53716
Phone: (608) 417-6175
Type: Location
700 S PARK ST
MADISON, WI 537151830
Phone: (608) 251-6100
Fax: (608) 260-2976
Type: Location
Copps Avenue, Monona, Dane County, Wisconsin, 53716, United States
MONONA, WI 53716
Phone: (608) 417-6175
Type: Location
UnityPoint Health - Meriter, 202, South Park Street, Greenbush, Bowens Addition, Madison, Dane County, Wisconsin, 53715, United States
MADISON, WI 537151507
Phone:
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.
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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: 2013-01-16
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20130116000487 | I | Plastic And Reconstructive Surgery | WI | 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 |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 57 | 57 | $0 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 49 | 48 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 46 | 34 | $0 |
| 20550 | Injection into tendon or ligament | 31 | 24 | $0 |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 23 | 23 | $0 |
Insurance plans in this area (ZIP 53716)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
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