BRUCE D LARSON PAC
NPI 1265470371
Physician Assistant in Lisbon, ND

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
819 MAIN ST, LISBON, ND 58054(701) 683-4134(701) 683-4094 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce D Larson Pac NPPES

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

BRUCE D LARSON PAC (NPI 1265470371) is an individual physician assistant in Lisbon, North Dakota, licensed in North Dakota (PAC0257) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265470371
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRUCE D LARSONCredential: PAC
Location Address819 MAIN STLisbon, ND 58054-4244
Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 683-4134 · Fax (701) 683-4094
Fax(701) 683-4094
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 2, 2006
Last NPPES UpdateFebruary 19, 2016
NPI 1265470371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ND · PAC0257
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
819 MAIN ST, Lisbon, ND 58054

Other Identifiers 18

Other137047ND · Ucare #
Other23227ND · Ndbs #
Medicaid798727700ND
Other0113759ND · Medica #
Other515S5LAND · Mnbs #
Other1797235ND · America's Ppo/araz #
Other514S3LAND · Mnbs #
Medicare UPINP19237ND
Medicare ID-Type Unspecified23228ND · Nd Medicare #
Medicare ID-Type Unspecified23227ND · Nd Medicare #
Other0113760ND · Medica #
OtherP00055624ND · Rr Medicare #
Other23228ND · Ndbs #
Medicare PIN713110ND
OtherHP38590ND · Healthpartners #
Other0113761ND · Medica #
OtherDA9061031057ND · Preferred One #
Other514S4LSND · Mnbs #

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

Bruce D Larson Pac 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 ID4385637578
PECOS Enrollment IDI20040405000897
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 3

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.
73 services66 patients
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.
21 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58054 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers29 claims54 services$4.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers24 claims24 services$0.99 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$52.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$106.83 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$4.63 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 6

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

Family Medicine
819 MAIN ST
LISBON, ND 58054
Family Medicine
819 MAIN ST
LISBON, ND 58054
Nurse Practitioner (Family)
819 MAIN ST
LISBON, ND 58054
Physician Assistant
819 MAIN ST
LISBON, ND 58054
Physician Assistant
819 MAIN ST
LISBON, ND 58054
Nurse Practitioner
819 MAIN ST
LISBON, ND 58054

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 Bruce Larson's NPI number?

The NPI number for Bruce Larson is 1265470371. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Bruce Larson located?

Bruce Larson practices at 819 Main St, Lisbon, ND 58054. The listed phone number is (701) 683-4134.

What is Bruce Larson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bruce Larson enrolled in Medicare?

Yes. Bruce 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 Bruce Larson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Bruce 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 Bruce Larson affiliated with any hospitals?

According to CMS data, Bruce Larson is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Bruce Larson was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.