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SETH EDWARD LARSON MD
NPI 1255302352
Psychiatry & Neurology - Neurology in Sun City, AZ

Active since January 28, 2006PECOS EnrolledAccepts Medicare Assignment
10474 W THUNDERBIRD BLVD, SUITE 200, SUN CITY, AZ 85351(623) 972-3800(623) 972-1089 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seth Edward Larson Md NPPES

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

SETH EDWARD LARSON MD (NPI 1255302352) is an individual neurology provider in Sun City, Arizona, licensed in North Carolina (2006 01761) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Catawba Valley Medical Center, and is a graduate of University Of Minnesota Medical School (1999).

NPPES Registry Identity

NPI1255302352
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSETH EDWARD LARSONCredential: MD
Location Address10474 W THUNDERBIRD BLVD, SUITE 200Sun City, AZ 85351-3015
Mailing Address1985 Tate Blvd Se, Suite 600Hickery, NC 28602-1498 · (828) 328-5500 · Fax (828) 485-2517
Phone(623) 972-3800
Fax(623) 972-1089
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1999
Enumeration DateJanuary 28, 2006
Last NPPES UpdateFebruary 8, 2008
✔ NPI 1255302352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NC · 2006 01761
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
10474 W THUNDERBIRD BLVD, Sun City, AZ 85351
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINH95876NC
Medicare ID-Type Unspecified83794AZ
Medicaid890241PNC
Medicare UPINH95876AZ
Medicare PIN2320111NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Seth Edward Larson 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 ID3870497001
PECOS Enrollment IDI20070213000678
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
41 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services20 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

ARIZONA NEUROLOGICAL INSTITUTE
Psychiatry & Neurology (Clinical Neurophysiology)
10474 W THUNDERBIRD BLVD, SUITE 200
SUN CITY, AZ 85351
Maricopa County (623) 972-3800
DR. BRANDON CRAIG WOODS MD
Psychiatry & Neurology (Neurology)
10474 W THUNDERBIRD BLVD, #200
SUN CITY, AZ 85351
Maricopa County (623) 972-3800
AMY BETH CRUZ PT
Physical Therapist
10474 W THUNDERBIRD BLVD, SUITE 200
SUN CITY, AZ 85351
Maricopa County (623) 972-3800
KSSRGH SLEEP
Clinic/Center (Sleep Disorder Diagnostic)
10474 W THUNDERBIRD BLVD, SUITE 200
SUN CITY, AZ 85351
Maricopa County (623) 972-1800
SUN HEALTH LAKES IMAGING CENTER
Clinic/Center (Radiology)
10474 W THUNDERBIRD BLVD, SUITE 100
SUN CITY, AZ 85351
Maricopa County (623) 876-5351
JACOB BRAUNING DPT
Physical Therapist
10474 W THUNDERBIRD BLVD
SUN CITY, AZ 85351
Maricopa County (623) 219-4475
ANDREW GORMAN DO
Psychiatry & Neurology (Neurology)
10474 W THUNDERBIRD BLVD, STE 200
SUN CITY, AZ 85351
Maricopa County (855) 506-3876
JATIN SHAH MD
Psychiatry & Neurology (Neurology)
10474 W THUNDERBIRD BLVD, STE 200
SUN CITY, AZ 85351
Maricopa County (855) 506-3876

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 Seth Larson's NPI number?

The NPI number for Seth Larson is 1255302352. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Where is Seth Larson located?

Seth Larson practices at 10474 W Thunderbird Blvd Suite 200, Sun City, AZ 85351. The listed phone number is (623) 972-3800.

What is Seth Larson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Seth Larson enrolled in Medicare?

Yes. Seth 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.

What insurance does Seth Larson accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Seth 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.

Is Seth Larson affiliated with any hospitals?

According to CMS data, Seth Larson is affiliated with Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Larson was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.