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DR. PETER ERIC LARSEN DDS
NPI 1205912300
Oral & Maxillofacial Surgery in Columbus, OH

Active since October 31, 2006PECOS Enrolled
305 W 12TH AVE, COLUMBUS, OH 43210(614) 292-5144(614) 292-9472 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Peter Eric Larsen Dds NPPES

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

DR. PETER ERIC LARSEN DDS (NPI 1205912300) is an individual oral & maxillofacial surgery provider in Columbus, Ohio, licensed in Ohio (30.018614) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1205912300
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. PETER ERIC LARSENCredential: DDS
Location Address305 W 12TH AVEColumbus, OH 43210-1267
Mailing AddressPo Box 182357Columbus, OH 43218-2357
Phone(614) 292-5144
Fax(614) 292-9472
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateDecember 18, 2019
✔ NPI 1205912300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in OH · 30.018614
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 18614 (OH)
305 W 12TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-5651 · Fax (614) 355-4497

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Dr. Peter Eric Larsen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Peter Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohio State Dental Faculty Practice Inc
Same address
Dentist
305 W. 12TH AVENUE, 4TH FLOOR POSTLE HALL
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 11 clinicians in this Medicare group
NPI 1164537684 (614) 292-1472

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.

DR. TIMOTHY GARTH WEAVER D.D.S.
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-7473
MITCHELL THAI
Dentist (General Practice)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-4468
DIANA MAHMOODI DMD
Dentist (Prosthodontics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (703) 608-6431
DR. ELMER JAY NEWNESS D.D.S.
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-3015
DANIEL STENTZ D.D.S.
Dentist
305 W 12TH AVE, ROOM 3059C POSTLE HALL
COLUMBUS, OH 43210
Franklin County (614) 292-3596
JENNIFER BURZYNSKI DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE, OSU DEPARTMENT OF ORTHODONTICS
COLUMBUS, OH 43210
Franklin County (614) 292-9100
DR. SOORYA SRINIVASAN D.M.D
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 688-4047
DR. BRYCE WOOLSEY DDS
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-2622

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 Peter Larsen's NPI number?

The NPI number for Peter Larsen is 1205912300. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Peter Larsen located?

Peter Larsen practices at 305 W 12th Ave, Columbus, OH 43210. The listed phone number is (614) 292-5144.

What is Peter Larsen's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Peter Larsen enrolled in Medicare?

Yes. Peter Larsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Larsen reassigns Medicare benefits to Ohio State Dental Faculty Practice Inc (Columbus, OH). 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 Peter Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Larsen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 9 other insurers list Peter Larsen 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 Peter Larsen was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.