DR. RICHARD SIGURD LARSON III DNP
NPI 1265074660
Nurse Practitioner - Pediatrics in Charleston, SC

Active since October 17, 2019PECOS Enrolled
2067 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 573-2535 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, Oct 17, 2019 (2 updates tracked since 2019).

About Dr. Richard Sigurd Larson Iii Dnp NPPES

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

DR. RICHARD SIGURD LARSON III DNP (NPI 1265074660) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (23287) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Scott Air Force Base.

NPPES Registry Identity

NPI1265074660
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameDR. RICHARD SIGURD LARSON IIICredential: DNP
Location Address2067 CHARLIE HALL BLVDCharleston, SC 29414-5834
Mailing Address850 Bluff Ridge LnBelleville, IL 62221-3562
Sole ProprietorNo
Enumeration DateOctober 17, 2019
Last NPPES UpdateApril 27, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
NPI 1265074660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in SC · 23287
2067 CHARLIE HALL BLVD, Charleston, SC 29414

Secondary Practice Location 1

Location 1310 W Losey StScott Air Force Base, IL 62225-5250 · Phone (618) 256-7357

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 (PECOS)

Dr. Richard Sigurd Larson Iii Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Pediatrics
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Physician Assistant (Medical)
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Nurse Practitioner (Pediatrics)
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Physician Assistant
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Pediatrics
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Nurse Practitioner (Pediatrics)
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Nurse Practitioner (Pediatrics)
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Physician Assistant
2067 CHARLIE HALL BLVD
CHARLESTON, SC 29414

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 Richard Larson's NPI number?

The NPI number for Richard Larson is 1265074660. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Richard Larson located?

Richard Larson practices at 2067 Charlie Hall Blvd, Charleston, SC 29414. The listed phone number is (843) 573-2535.

What is Richard Larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Richard Larson enrolled in Medicare?

Yes. Richard Larson is registered in the Medicare PECOS enrollment system.

What insurance does Richard Larson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Larson was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.