GREGORY R. LARSON MD NPI 1629036645

NPI Information

  • NPI: 1629036645
  • Provider Name: GREGORY R. LARSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 511 14TH AVE NE
    WATERTOWN, SD
    ZIP 57201
  • Phone: (605) 886-8482

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NPI Details

Gregory R. Larson, MD is a family medicine in Watertown, SD with 36 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gregory R. Larson, MD NPI is 1629036645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduation Year:1990

The provider's business location address is:

511 14TH AVE NE
WATERTOWN, SD
ZIP 57201-811
Phone: (605) 886-8482
Fax: (605) 884-4300

The NPI 1629036645 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Hemoglobin a1c level (HCPCS:83036)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Blood test, clotting time (HCPCS:85610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Screening mammography (HCPCS:77067)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Testing for presence of drug, read by instrument assisted observation (HCPCS:80306)
  • Screening 3d breast mammography (HCPCS:77063)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Vitamin d-3 level (HCPCS:82306)
  • Uric acid level, blood (HCPCS:84550)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Folic acid level, serum (HCPCS:82746)

The enumeration date for this NPI number is 5/1/2006 and was last updated on 5/17/2022.

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
1207Q00000XFamily Medicine3698SOUTH DAKOTAYes

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
15609624MEDICAIDSOUTH DAKOTA

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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