PETER RICHARD LARSON PAC
NPI 1396706511
Physician Assistant in Oak Park Heights, MN


Quality Rating: 42.19 out of 100 score

NPI Status: Active since March 29, 2006

Contact Information

5803 NEAL AVE N
OAK PARK HEIGHTS, MN
ZIP 55082
Phone: (651) 439-8807
Fax: (651) 439-0232

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  • Individual
  • Male
  • Years of Experience 25
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PETER LARSON

This page provides the complete NPI Profile along with additional information for Peter Larson, a primary care provider established in Oak Park Heights, Minnesota with a medical specialization in Physician Assistant and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1396706511 assigned on March 2006. The practitioner's primary taxonomy code is 363A00000X with license number 9658 (MN). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1396706511
Provider Name
PETER RICHARD LARSON PAC
Gender
Male
Entity Type
Individual
Location Address
5803 NEAL AVE N OAK PARK HEIGHTS, MN 55082
Location Phone
(651) 439-8807
Location Fax
(651) 439-0232
Mailing Address
5803 NEAL AVE N OAK PARK HEIGHTS, MN 55082
Mailing Phone
(651) 439-8807
Mailing Fax
(651) 439-0232
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
03-29-2006
Last Update Date
08-26-2021
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A primary care provider (PCP) like Peter Larson 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

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

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
9658
License State
MN
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

1424-23 (WI)
2363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

9658 (MN)

Insurance Plans Accepted

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

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Robin Oak $1,000 Gold - PPO
  • Robin Oak $1,500 Standard Gold - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

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

Medicare Participation & PECOS Enrollment Status

Peter Larson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Peter Larson 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: 4981666765

    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: I20041103000580, I20100326000594

    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? Yes

    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.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 192 times for 93 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 18 times for 15 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

This service was performed 123 times for 37 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 415 times for 57 patients

Knee replacement

A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.

This service was performed for 1-10 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 46 times for 44 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 53 times for 53 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $17.43 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55082 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 42.19, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 42.19 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 40.07

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 0

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 30

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 63.07

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 63.07

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Peter Larson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
M HEALTH FAIRVIEW WOODWINDS HOSPITAL1925 WOODWINDS DRIVE
WOODBURY, MN 55125
(952) 892-2101Acute Care Hospitals

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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.
1396706511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231861401252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 4 + 0 + 1 + 2 + 5 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1396706511 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508862194DR. MARK T DAHL M.D.
Individual
Orthopaedic Surgery5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1558368985 RUSSELL A MCGILL OPA-C
Individual
Physician Assistant (Surgical)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1528050929DR. GEORGE P. BOYUM M.D.
Individual
Specialist5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1275946394 MOLLY AUGUSTINE
Individual
Specialist/Technologist (Athletic Trainer)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 351-2653
1144633165 AMY HUTTER
Individual
Specialist/Technologist (Athletic Trainer)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1598761322DR. DAVID HADLEY PALMER MD
Individual
Orthopaedic Surgery5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1023014784DR. TROY ALLEN VARGAS DPM
Individual
Podiatrist (Foot & Ankle Surgery)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1629074471DR. WILLIAM TOWLE SCHNEIDER MD
Individual
Orthopaedic Surgery5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1942206610DR. BRUCE J BARTIE D.O.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1265438907DR. NICHOLAS GREGORY WEISS MD
Individual
Orthopaedic Surgery (Sports Medicine)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1326044074DR. GLENN WARREN CIEGLER MD
Individual
Orthopaedic Surgery5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1609872381DR. ROBERT VINCENT KNOWLAN MD
Individual
Orthopaedic Surgery5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1699771386DR. TIMOTHY JAY PANEK MD
Individual
Orthopaedic Surgery5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1205832896DR. RYAN RICHARD KARLSTAD MD
Individual
Orthopaedic Surgery (Hand Surgery)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1336145952DR. CHRISTIAN MICHAEL DUBOIS MD
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1659378255DR. NICHOLAS J MEYER MD
Individual
Orthopaedic Surgery (Hand Surgery)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1063412112MRS. JENNIFER ANN STANEK MS, PAC
Individual
Physician Assistant (Surgical)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1407833742 KATE T ERICKSON PAC
Individual
Physician Assistant5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1669443495 THOMAS K COMFORT M.D.
Individual
Orthopaedic Surgery5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807
1821186628 SARA MARIA JORUD OTR/L, CHT
Individual
Occupational Therapist (Hand)5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
(651) 439-8807

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396706511, enumerated in the NPI registry as an "individual" on March 29, 2006

The provider is located at 5803 Neal Ave N Oak Park Heights, Mn 55082 and the phone number is (651) 439-8807

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 25 years of experience.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners. 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.

Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 20-29 minutes, Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Knee replacement, Replacement of knee joint, both sides of knee and Replacement of thigh bone and hip joint with prosthesis.

The practitioner is affiliated to the following hospital(s): M HEALTH FAIRVIEW WOODWINDS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 29, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.