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DAVID C LARSEN DPM
NPI 1235125204
Podiatrist in Woodruff, WI

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
311 ELM ST, WOODRUFF, WI 54568(715) 634-9023(715) 634-9935 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David C Larsen Dpm NPPES

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

DAVID C LARSEN DPM (NPI 1235125204) is an individual podiatrist in Woodruff, Wisconsin, licensed in Wisconsin (737-25) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1235125204
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDAVID C LARSENCredential: DPM
Location Address311 ELM STWoodruff, WI 54568-9149
Mailing Address7428 Loon Landing ShrsLake Tomahawk, WI 54539-9110 · (877) 265-5225 · Fax (715) 277-4944
Phone(715) 634-9023
Fax(715) 634-9935
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 23, 2005
Last NPPES UpdateAugust 23, 2017
✔ NPI 1235125204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WI · 737-25
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 737-25 (WI)
311 ELM ST, Woodruff, WI 54568
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Other Identifiers 5

Medicaid43222700WI
Medicare PIN000186425WI
OtherCG4176WI · Railroad Medicare
Medicare UPINU63277
Medicare PIN000180300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan and more.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

David C Larsen Dpm 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 ID1254237472
PECOS Enrollment IDI20031209000802, I20160408000340
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
128 services100 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
85 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
80 services53 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
55 services20 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
19 services14 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54568 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
61%61 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
33%24 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%68 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%181 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%110 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%181 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%181 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%181 patients
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CULLEN RICHARD SHANROCK DPM
Podiatrist (Foot & Ankle Surgery)
311 ELM ST
WOODRUFF, WI 54568
Oneida County (651) 564-2094
JAIME L BOLLMANN SR. LCSW, CSAC
Social Worker
311 ELM ST
WOODRUFF, WI 54568
Oneida County (715) 356-8540
JULIE M VONDERHOFF SR. LCSW
Social Worker (Clinical)
311 ELM ST
WOODRUFF, WI 54568
Oneida County (715) 356-8540
COMPREHENSIVE FOOT & ANKLE, SC
Podiatrist
311 ELM ST
WOODRUFF, WI 54568
Oneida County (877) 265-5225
SHANNON S MEYER DPM
Podiatrist
311 ELM ST
WOODRUFF, WI 54568
Oneida County (715) 634-9023
HARRIET I WALKER PHD, CADC-III, NCGC
Counselor (Addiction (Substance Use Disorder))
311 ELM ST
WOODRUFF, WI 54568
Oneida County (715) 356-8540
SUSAN ANDERSON APNP
Nurse Practitioner (Family)
311 ELM ST
WOODRUFF, WI 54568
Oneida County (715) 356-8540
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
311 ELM ST
WOODRUFF, WI 54568
Oneida County (715) 356-0132

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 David Larsen's NPI number?

The NPI number for David Larsen is 1235125204. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is David Larsen located?

David Larsen practices at 311 Elm St, Woodruff, WI 54568. The listed phone number is (715) 634-9023.

What is David Larsen's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is David Larsen enrolled in Medicare?

Yes. David 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 David Larsen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and HealthPartners and 1 other insurer list David 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 David Larsen was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.