DR. CALISANDRA MARIE LARSON OD
NPI 1164113262
Student in an Organized Health Care Education/Training Program in Boston, MA
About Dr. Calisandra Marie Larson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CALISANDRA MARIE LARSON OD (NPI 1164113262) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College 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. Calisandra Marie 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 Reassignment
Medicare enrollment records show Calisandra Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 63 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.
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.
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 Calisandra Larson's NPI number?
The NPI number for Calisandra Larson is 1164113262. It was assigned to this individual provider in the NPPES registry on May 18, 2023.
Where is Calisandra Larson located?
Calisandra Larson practices at 930 Commonwealth Ave, Boston, MA 02215. The listed phone number is (617) 266-2030.
What is Calisandra Larson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Calisandra Larson enrolled in Medicare?
Yes. Calisandra 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 Calisandra Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Calisandra Larson reassigns Medicare benefits to New England Eye Institute Inc. (Boston, MA). 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 Calisandra Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Calisandra Larson accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Calisandra 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 Calisandra Larson was last updated on May 18, 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. Calisandra Marie Larson, OD · NPI 1164113262
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 18, 2023.
## Identity
- **NPI:** 1164113262 (Entity type: Individual)
- **Enumerated:** May 18, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 930 COMMONWEALTH AVE, Boston, MA 02215-1274
- **Phone:** (617) 266-2030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** New England Eye Institute Inc. (NPI 1487607388, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2023
## Record status
- **NPPES last updated:** May 18, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1164113262) · Data from the CMS NPPES public registry.