STEPHEN LARSEN M.D.
NPI 1215165584
Urology in Goodyear, AZ

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
71.29/100
CMS Quality Rating
13555 W MCDOWELL RD, 302, GOODYEAR, AZ 85395(623) 512-4390(623) 512-4391 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Larsen M.d. NPPES

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

STEPHEN LARSEN M.D. (NPI 1215165584) is an individual urology provider in Goodyear, Arizona, licensed in Arizona (50775) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2009).

NPPES Registry Identity

NPI1215165584
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSTEPHEN LARSENCredential: M.D.
Location Address13555 W MCDOWELL RD, 302Goodyear, AZ 85395-2624
Mailing Address17560 N 75th Ave, Suite 440Glendale, AZ 85308-5983 · (623) 512-4390 · Fax (623) 512-4139
Fax(623) 512-4391
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateJanuary 18, 2017
NPI 1215165584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in AZ · 50775 Licensed in IL · 125-056789
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
13555 W MCDOWELL RD, Goodyear, AZ 85395

Other Identifiers 1

Medicaid053337AZ

Accepted 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

Stephen Larsen M.d. 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 ID3870803059
PECOS Enrollment IDI20151030002303
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 22

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.
425 services285 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
156 services156 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
126 services103 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
121 services115 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
112 services94 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
107 services93 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

71.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.89
Promoting Interoperability96
Improvement Activities40
Cost51.74

Reported Quality Measures

Advance Care Plan
0%1,055 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
19%83 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
12%150 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%41 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
80%4,302 patients3/55-star benchmark: 100%
e-Prescribing
95%434 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%2,169 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
3%2,473 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,370 patients
0%1,370 patients
Provide Patients Electronic Access to Their Health Information
82%997 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%230 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 907 patients
Patients totalRate: 1% · 907 patients
1%907 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers38 claims5,378 services$1.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
13555 W MCDOWELL RD, SUITE 304
GOODYEAR, AZ 85395
Nurse Practitioner (Family)
13555 W MCDOWELL RD
GOODYEAR, AZ 85395
Surgery
13555 W MCDOWELL RD, SUITE 204
GOODYEAR, AZ 85395
Physician Assistant
13555 W MCDOWELL RD
GOODYEAR, AZ 85395
Durable Medical Equipment & Medical Supplies
13555 W MCDOWELL RD, SUITE 201
GOODYEAR, AZ 85395
Internal Medicine (Hematology & Oncology)
13555 W MCDOWELL RD, SUITE 210
GOODYEAR, AZ 85395
Urology
13555 W MCDOWELL RD, 304
GOODYEAR, AZ 85395
Internal Medicine (Rheumatology)
13555 W MCDOWELL RD, SUITE 209
GOODYEAR, AZ 85395

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 Stephen Larsen's NPI number?

The NPI number for Stephen Larsen is 1215165584. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Stephen Larsen located?

Stephen Larsen practices at 13555 W Mcdowell Rd 302, Goodyear, AZ 85395. The listed phone number is (623) 512-4390.

What is Stephen Larsen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stephen Larsen enrolled in Medicare?

Yes. Stephen Larsen 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.

What insurance does Stephen Larsen accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Stephen 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 Stephen Larsen was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.