DR. DOUGLAS GLEN LARSON M.D. NPI 1003064999

NPI Information

  • NPI: 1003064999
  • Provider Name: DR. DOUGLAS GLEN LARSON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2020 PALOMINO LN
    #100
    LAS VEGAS, NV
    ZIP 89106
  • Phone: (702) 759-8600

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NPI Details

DR. Douglas Glen Larson, M.D. is a diagnostic radiology radiology in Las Vegas, NV with 18 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Douglas Glen Larson, M.D. NPI is 1003064999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

2020 PALOMINO LN
#100
LAS VEGAS, NV
ZIP 89106-842
Phone: (702) 759-8600

The NPI 1003064999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of face without contrast (HCPCS:70486)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ct scan of head or brain before and after contrast (HCPCS:70470)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ultrasound of leg arteries at rest and after exercise (HCPCS:93924)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of abdomen, 2 views (HCPCS:74019)

The enumeration date for this NPI number is 9/4/2008 and was last updated on 10/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology15305NEVADANo
22085R0202XRadiologyDiagnostic RadiologyMD172183OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01418514OTHERNEVADARR MEDICARE DRS
21003064999MEDICAIDCALIFORNIA
3P01352399OTHERNEVADARR DR
4R189964MEDICARE PINOREGON
5V107651MEDICARE PINNEVADA
6V107650MEDICARE PINNEVADA
7R190141MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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