DR. NATHAN MICHAEL LARSON OD
NPI 1073207445
Optometrist in Menasha, WI
About Dr. Nathan Michael Larson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NATHAN MICHAEL LARSON OD (NPI 1073207445) is an individual optometrist in Menasha, Wisconsin, licensed in Wisconsin (3916-35) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nathan Michael Larson Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nathan Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 4 clinicians in this Medicare group
Appleton, WI 54915
- Reassigned Medicare billing, Wisconsin enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nathan Larson's NPI number?
The NPI number for Nathan Larson is 1073207445. It was assigned to this individual provider in the NPPES registry on June 7, 2023.
Where is Nathan Larson located?
Nathan Larson practices at 1255 Appleton Rd, Menasha, WI 54952. The listed phone number is (920) 722-6872.
What is Nathan Larson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nathan Larson enrolled in Medicare?
Yes. Nathan 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.
Which organizations bill Medicare for Nathan Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Larson reassigns Medicare benefits to 2 organizations: Community Eyecare Inc (Menasha, WI) and Shoptikal LLC (Appleton, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Larson accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 10 other insurers list Nathan Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nathan Larson was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Nathan Michael Larson, OD · NPI 1073207445
Optometrist provider in Menasha, Wisconsin. Individual provider, active in the CMS NPPES registry since June 7, 2023.
## Identity
- **NPI:** 1073207445 (Entity type: Individual)
- **Enumerated:** June 7, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3916-35 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1255 APPLETON RD, Menasha, WI 54952-1501
- **Phone:** (920) 722-6872
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Eyecare Inc (NPI 1861463234, Menasha, WI); Shoptikal LLC (NPI 1871159244, Appleton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 2023
## Record status
- **NPPES last updated:** June 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073207445) · Data from the CMS NPPES public registry.