MARC DEVRIES LARSEN MD
NPI 1144236159
Emergency Medicine - Emergency Medical Services in Kansas City, MO
NPI Status: Active since July 31, 2006
Contact Information
4401 WORNALL RD
KANSAS CITY, MO
ZIP 64111
Phone: (816) 932-2047
- Individual
- Male
- Years of Experience 23
- Emergency Medicine
- Emergency Medical Services
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MARC LARSEN
This page provides the complete NPI Profile along with additional information for Marc Larsen, a provider established in Kansas City, Missouri with a medical specialization in Emergency Medicine, focusing in emergency medical services and more than 23 years of experience. He graduated from University Of Kansas School Of Med (kc/wich/sal) in 2003. The healthcare provider is registered in the NPI registry with number 1144236159 assigned on July 2006. The practitioner's primary taxonomy code is 207PE0004X with license number 2006010971 (MO). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1144236159
- Provider Name
- MARC DEVRIES LARSEN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4401 WORNALL RD KANSAS CITY, MO 64111
- Location Phone
- (816) 932-2047
- Mailing Address
- PO BOX 78009 ST LOUIS, MO 63178
- Mailing Phone
- (616) 975-9824
- Mailing Fax
- Medical School Name
- UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 03-03-2008
- Code Navigator
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
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2006010971
- License State
- MO
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue KC Catastrophic BlueSelect EPO - EPO
- Blue KC Choice Bronze 2 with Spira Care BlueSelect EPO - EPO
- Blue KC Choice Silver 1 with Spira Care BlueSelect EPO - EPO
- Blue KC Community Silver Preferred-Care Blue EPO - EPO
- Blue KC First Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Bronze BlueSelect EPO - EPO
- Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Gold BlueSelect EPO - EPO
- Blue KC Standard Gold Preferred-Care Blue EPO - EPO
- Blue KC Standard Silver BlueSelect EPO - EPO
- 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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| I66601 | MEDICARE UPIN (02) | ||
| J55E905 | MEDICARE PIN (08) | ||
| 37548019 | OTHER (01) | BCBS | |
| P00393448 | OTHER (01) | RAILROAD MEDICARE |
Medicare Participation & PECOS Enrollment Status
Marc Larsen 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.
Marc Larsen 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: 5991705816
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: I20190925003214
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.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 29 times for 29 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 278 times for 273 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 158 times for 155 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 57 times for 56 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 202 times for 194 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $24.45 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 64111 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 $55.29
- Maximum New Patient Price $168.52
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $13.82
- Maximum New Patient Copayment $42.13
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.82
- Minimum Established Patient Price $17.6
- Maximum Established Patient Price $137.2
- Average Established Patient Copayment $24.45
- Minimum Established Patient Copayment $4.4
- Maximum Established Patient Copayment $34.3
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Depression screening | Yes | N/A |
| Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions. | ||
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. Marc Larsen is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SAINT LUKE'S SOUTH HOSPITAL | 12300 METCALF AVENUE OVERLAND PARK, KS 66213 | (913) 317-3303 | Acute Care Hospitals | |
| ST LUKES HOSPITAL OF KANSAS CITY | 4401 WORNALL ROAD KANSAS CITY, MO 64111 | (816) 932-2000 | Acute Care Hospitals | |
| SAINT LUKE'S EAST HOSPITAL | 100 N E SAINT LUKE'S BOULEVARD LEES SUMMIT, MO 64086 | (816) 347-5000 | Acute Care Hospitals |
Reviews for MARC DEVRIES LARSEN MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1144236159, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144236159, enumerated as an "individual" on July 31, 2006.
The provider is located at 4401 WORNALL RD KANSAS CITY, MO 64111 and the phone number is (816) 932-2047.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Medica,. Please consult your insurance carrier or call the provider to verify.
Marc Larsen is affiliated with: SAINT LUKE'S SOUTH HOSPITAL, ST LUKES HOSPITAL OF KANSAS CITY and SAINT LUKE'S EAST HOSPITAL.
