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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. JAMES RAY LARZALERE MD
NPI 1184690695
Pediatrics - Adolescent Medicine in Mcpherson, KS

Active since February 24, 2006PECOS EnrolledCLIA 17D0863630 · Microscopy
10.14/100
CMS Quality Rating
1233 N MAIN, MCPHERSON, KS 67460(620) 241-4272(620) 241-5101 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Mr. James Ray Larzalere Md NPPES

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

MR. JAMES RAY LARZALERE MD (NPI 1184690695) is an individual adolescent medicine provider in Mcpherson, Kansas, licensed in Kansas (0421046) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 1, 2026, and is affiliated with Salina Regional Health Center.

NPPES Registry Identity

NPI1184690695
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameMR. JAMES RAY LARZALERECredential: MD
Location Address1233 N MAINMcpherson, KS 67460
Mailing Address1233 N MainMcpherson, KS 67460 · (620) 241-4272 · Fax (620) 241-5101
Phone(620) 241-4272
Fax(620) 241-5101
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1984
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1184690695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in KS · 0421046
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0421046 (KS)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 0421046 (KS)
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 0421046 (KS)
1233 N MAIN, Mcpherson, KS 67460
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.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

Mr. James Ray Larzalere 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 ID5294772067
PECOS Enrollment IDI20050413000369
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 17D0863630

James R Larzalere MD · Mcpherson, KS
Active · expires Aug 1, 2026
CLIA Number17D0863630
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorJames K. Larzalere
Laboratory Phone(620) 241-4272
Laboratory LocationJames R Larzalere MD1233 North Main, Mcpherson, KS 67460
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 7

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.
1,047 services265 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
278 services229 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
76 services76 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
63 services29 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
47 services20 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
46 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Salina Regional Health Center

Acute Care Hospitals · Salina, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170012
Location400 South Santa Fe AvenueSalina, KS 67401 · Saline County
Emergency services Birthing friendly

Mcpherson Hospital

Acute Care Hospitals · Mcpherson, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number170105
Location1000 Hospital DriveMcpherson, KS 67460 · Mcpherson County
Emergency services Birthing friendly

Lindsborg Community Hospital

Critical Access Hospitals · Lindsborg, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171358
Location605 W Lincoln StreetLindsborg, KS 67456 · Mcpherson County
Emergency services

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.

10.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost33.81

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers40 claims96 services$6.04 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$22.09 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims62 services$2.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers43 claims43 services$19.81 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$50.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers62 claims62 services$109.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Larzalere's NPI number?

The NPI number for James Larzalere is 1184690695. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is James Larzalere located?

James Larzalere practices at 1233 N Main, Mcpherson, KS 67460. The listed phone number is (620) 241-4272.

What is James Larzalere's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is James Larzalere enrolled in Medicare?

Yes. James Larzalere 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.

Does James Larzalere hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 17D0863630) is associated with this NPI, valid through August 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does James Larzalere accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list James Larzalere 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.

Is James Larzalere affiliated with any hospitals?

According to CMS data, James Larzalere is affiliated with Salina Regional Health Center, Mcpherson Hospital and Lindsborg Community Hospital.

When was this NPI record last updated?

The NPPES record for James Larzalere was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.