REBECCA J LARSON MD
NPI 1063674588
Dermatology - MOHS-Micrographic Surgery in Springfield, IL

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
66.13/100
CMS Quality Rating
751 N RUTLEDGE ST, SUITE 2300, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-4485 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca J Larson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA J LARSON MD (NPI 1063674588) is an individual mohs-micrographic surgery provider in Springfield, Illinois, licensed in Illinois (036-132957) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Loma Linda University School Of Medicine (2008).

NPPES Registry Identity

NPI1063674588
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameREBECCA J LARSONCredential: MD
Location Address751 N RUTLEDGE ST, SUITE 2300Springfield, IL 62702-4968
Mailing AddressPo Box 19644Springfield, IL 62794-9644 · (217) 545-8000 · Fax (217) 545-4485
Fax(217) 545-4485
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
NPI 1063674588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in IL · 036-132957
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 036-132957 (IL)
751 N RUTLEDGE ST, Springfield, IL 62702

Other Identifiers 1

Medicaid036132957IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rebecca J Larson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820239205
PECOS Enrollment IDI20130726000723
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
299 services61 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
266 services212 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
100 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
97 services80 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
92 services88 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
81 services68 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

66.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.15
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
68%98 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
26%299 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
20%204 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%394 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 39% · 329 patients
Patients screened: 48% · 329 patients
35%31 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%28 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 185 patients
Patients totalRate: 0% · 185 patients
0%185 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
Dietitian, Registered
751 N RUTLEDGE ST, LOWER LEVEL
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Clinical Neurophysiology)
751 N RUTLEDGE ST, STE 3100
SPRINGFIELD, IL 62702
Internal Medicine
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Clinical Nurse Specialist (Acute Care)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Dietitian, Registered
751 N RUTLEDGE ST, SUITE 2300
SPRINGFIELD, IL 62702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Larson's NPI number?

The NPI number for Rebecca Larson is 1063674588. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Rebecca Larson located?

Rebecca Larson practices at 751 N Rutledge St Suite 2300, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Rebecca Larson's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Rebecca Larson enrolled in Medicare?

Yes. Rebecca Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rebecca Larson affiliated with any hospitals?

According to CMS data, Rebecca Larson is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Rebecca Larson was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.