MR. BRANDON LEON LARSEN PA-C
NPI 1215523337
Physician Assistant - Medical in Idaho Falls, ID

NPI Status: Active since December 13, 2020

Contact Information

1301 E 17TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 991-4296
Fax: (208) 656-2846

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  • Individual
  • Male
  • Years of Experience 6
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About BRANDON LARSEN

This page provides the complete NPI Profile along with additional information for Brandon Larsen, a primary care provider established in Idaho Falls, Idaho with a medical specialization in Physician Assistant, focusing in medical and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1215523337 assigned on December 2020. The practitioner's primary taxonomy code is 363AM0700X with license number PA-1985 (ID). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1215523337
Provider Name
MR. BRANDON LEON LARSEN PA-C
Gender
Male
Entity Type
Individual
Location Address
1301 E 17TH ST IDAHO FALLS, ID 83404
Location Phone
(208) 991-4296
Location Fax
(208) 656-2846
Mailing Address
891 TIE BREAKER DR AMMON, ID 83406
Mailing Phone
(208) 569-8676
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
12-13-2020
Last Update Date
11-19-2024
Code Navigator

A primary care provider (PCP) like Brandon Larsen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 3760 Washington Pkwy
    Idaho Falls, ID 83404
    (208) 881-5779

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA-1985
License State
ID

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Brandon Larsen is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Brandon Larsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729494786

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210317001243

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

This service was performed 56 times for 17 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 15 times for 11 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 147 times for 55 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 34 times for 17 patients

Measurement of alcohol level in breath specimen

Measurement of alcohol level in a breath specimen is a non-invasive procedure to estimate blood alcohol content. It involves blowing into a device, called a breathalyzer, which analyzes the alcohol concentration in your breath. It helps determine if alcohol use is within legal and safe limits.

This service was performed 101 times for 17 patients

Telehealth originating site facility fee

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

This service was performed 165 times for 56 patients

Testing for presence of drug, by chemistry analyzers

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

This service was performed 129 times for 19 patients

Reviews for MR. BRANDON LEON LARSEN PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215523337
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225102636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 0 + 2 + 6 + 3 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1215523337 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265051171 BRENT HOLLOWAY
Individual
Case Manager/Care Coordinator1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-3122
1740801505AAA AMERICAN HEALTHCARE LLC
Organization
Case Management1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-1999
1356962112AAA AMERICAN HEALTHCARE LLC
Organization
Peer Specialist1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-1999
1477174910AAA AMERICAN HEALTHCARE LLC
Organization
Community/Behavioral Health1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-3122
1427679984 VALINDA L MIKESELL LPC
Individual
Counselor (Professional)1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-3122
1275154718AAA AMERICAN HEALTHCARE LLC
Organization
Community/Behavioral Health1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-3122
1285979757AAA AMERICAN HEALTHCARE LLC
Organization
Counselor (Mental Health)1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-3122
1659797090 KRISTY ANN PENDLETON LCSW
Individual
Counselor (Mental Health)1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-3122
1538895818 ALYSHA GURR
Individual
Counselor (Mental Health)1301 E 17TH ST
IDAHO FALLS, ID 83404
(808) 319-1918
1992420350 MORGAN RAYE HORINE
Individual
Social Worker1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-3122
1942836911AMERICA HEALTH INC
Organization
General Practice1301 E 17TH ST
IDAHO FALLS, ID 83404
(208) 538-3122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215523337, enumerated in the NPI registry as an "individual" on December 13, 2020

The provider is located at 1301 E 17th St Idaho Falls, Id 83404 and the phone number is (208) 991-4296

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 6 years of experience.

The provider might be accepting Accepts: Moda Health Plan, Inc. and University of Utah. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Measurement of alcohol level in breath specimen, Telehealth originating site facility fee and Testing for presence of drug, by chemistry analyzers.

This NPI record was last updated on December 13, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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