1. Home
  2. Directory
  3. Utah
  4. South Ogden
  5. Obstetrics Gynecology
  6. NPI Profile

BRETT DAVID LARSON M.D.
NPI 1104142678
Obstetrics & Gynecology in South Ogden, UT

Active since April 08, 2010PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
1525 E 6000 S STE A, SOUTH OGDEN, UT 84405(801) 337-5800(801) 337-5858 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2022, Feb 17, 2017 (2 updates tracked since 2017).

About Brett David Larson M.d. NPPES

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

BRETT DAVID LARSON M.D. (NPI 1104142678) is an individual obstetrics & gynecology provider in South Ogden, Utah, licensed in Utah (12706124-1205) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104142678
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRETT DAVID LARSONCredential: M.D.
Location Address1525 E 6000 S STE ASouth Ogden, UT 84405-7149
Mailing Address712 S Cascade St, Suite 102Fergus Falls, MN 56537-2913 · (218) 736-8000 · Fax (218) 739-6718
Phone(801) 337-5800
Fax(801) 337-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 8, 2010
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1104142678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in UT · 12706124-1205✔ Licensed in MN · 60490✔ Licensed in OH · 35125228
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1525 E 6000 S STE A, South Ogden, UT 84405
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Brett David Larson M.d. 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 ID1052637303
PECOS Enrollment IDI20220607002154
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.

Medicare Billing Reassignment

Medicare enrollment records show Brett Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Circle Of Life Inc
Same address
Obstetrics & Gynecology
1525 EAST 6000 SOUTH
South Ogden, UT 84405
  • Reassigned Medicare billing, Utah enrollment
  • 15 clinicians in this Medicare group
NPI 1548284078 (801) 337-5800

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 84405 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.39
Promoting Interoperability96
Improvement Activities40
Cost67.66

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 Brett Larson's NPI number?

The NPI number for Brett Larson is 1104142678. It was assigned to this individual provider in the NPPES registry on April 8, 2010.

Where is Brett Larson located?

Brett Larson practices at 1525 E 6000 S Ste A, South Ogden, UT 84405. The listed phone number is (801) 337-5800.

What is Brett Larson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brett Larson enrolled in Medicare?

Yes. Brett 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 organization bills Medicare for Brett Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Larson reassigns Medicare benefits to Circle Of Life Inc (South Ogden, UT). The 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 Brett Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brett Larson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brett 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 Brett Larson was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.