BENJAMIN ZACHARY LARSEN MD
NPI 1124519657
General Practice in Ogden, UT

Q: What is Benjamin Larsen's NPI number?

The NPI number for Benjamin Larsen is 1124519657. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Q: What is Benjamin Larsen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Larsen was last updated on June 2, 2021. 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.

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment

4403 HARRISON BLVD STE 700A, OGDEN, UT 84403(801) 387-5300(801) 387-5333 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Oct 9, 2019, May 21, 2018 (3 updates tracked since 2018).

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About Benjamin Zachary Larsen Md NPPES

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

BENJAMIN ZACHARY LARSEN MD (NPI 1124519657) is an individual general practice provider in Ogden, Utah, licensed in Utah (11401709-1205) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2018).

NPPES Registry Identity

NPI1124519657

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameBENJAMIN ZACHARY LARSENCredential: MD

Location Address4403 HARRISON BLVD STE 700AOgden, UT 84403-3295

Mailing Address4403 Harrison Blvd Ste 700aOgden, UT 84403-3295 · (801) 387-5300 · Fax (801) 387-5333

Phone(801) 387-5300

Fax(801) 387-5333

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2018

Enumeration DateMay 21, 2018

Last NPPES UpdateJune 2, 20213 updates tracked since enumeration

NPPES CertifiedJune 2, 2021

✔ NPI 1124519657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in UT · 11401709-1205

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 11401709-1205 (UT)

4403 HARRISON BLVD STE 700A, Ogden, UT 84403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

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

Benjamin Zachary Larsen 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 ID8921338211

PECOS Enrollment IDI20190930002520

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

64 services64 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.

41 services37 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

29 services29 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

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.

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