DR. MICHAEL EDWARD LARSON (MD) – Diagnostic Radiology Physician, NPI 1174054670
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for DR. MICHAEL EDWARD LARSON (MD)
RADIOLOGY WAUKESHA, S.C.
1336 PARK AVE
SOUTH MILWAUKEE, WI 531721133
Phone: (414) 940-0278
Fax: (414) 301-9508
Type: Mailing
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 537923548
Phone:
Type: Mailing
UW HOSPITALS & CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Phone: (262) 893-0613
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($119).
Total Amount
$119
General + Research + Ownership
Payments
1
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Progenics Pharmaceuticals, Inc. | $119 |
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: 2023-09-01
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230823002954 | I | Diagnostic Radiology | WI | TBD |
| I20230901000380 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 126 | 120 | $0 |
| 70450 | Ct scan head or brain without contrast | 76 | 74 | $0 |
| 71046 | X-ray of chest, 2 views | 40 | 40 | $0 |
| 70553 | Mri scan of brain before and after contrast | 39 | 38 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 37 | 37 | $0 |
Insurance plans in this area (ZIP 53172)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Diagnostic Radiology, Interventional Radiology | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Diagnostic Radiology, Interventional Radiology | WI |
Reviews
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