ERIC M LARSON M.D.
NPI 1275513467
Ophthalmology in Oshkosh, WI

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1885 WEST POINTE DR, OSHKOSH, WI 54902(920) 232-6550(920) 232-6552 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric M Larson M.d. NPPES

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

ERIC M LARSON M.D. (NPI 1275513467) is an individual ophthalmology provider in Oshkosh, Wisconsin, licensed in Wisconsin (45716) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of University Of Minnesota Medical School (1998).

NPPES Registry Identity

NPI1275513467
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameERIC M LARSONCredential: M.D.
Location Address1885 WEST POINTE DROshkosh, WI 54902-4174
Mailing AddressPo Box 2723Oshkosh, WI 54903-2723 · (920) 232-6550 · Fax (920) 232-6552
Fax(920) 232-6552
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJuly 16, 2013
NPI 1275513467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 45716
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1885 WEST POINTE DR, Oshkosh, WI 54902

Other Identifiers 6

Medicare ID-Type Unspecified26020-0003WI
Medicare ID-Type Unspecified69015-0003WI
Medicare ID-Type Unspecified71490-003WI
Medicare UPINH74983WI
Medicaid34413200WI
Medicare PINP00030693

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

Eric M Larson 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 ID7315026465
PECOS Enrollment IDI20080501000073
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 16

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
370 services219 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.
230 services230 patients
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.
225 services183 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
178 services178 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
148 services107 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.
132 services122 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54902 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
8 suppliers13 claims13 services$56.93 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

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

Technician/Technologist (Optician)
1885 WEST POINTE DR
OSHKOSH, WI 54902

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 Eric Larson's NPI number?

The NPI number for Eric Larson is 1275513467. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Eric Larson located?

Eric Larson practices at 1885 West Pointe Dr, Oshkosh, WI 54902. The listed phone number is (920) 232-6550.

What is Eric Larson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eric Larson enrolled in Medicare?

Yes. Eric 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 Eric Larson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana, CareSource (Common Ground Healthcare) and HealthPartners and 5 other insurers list Eric 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 Eric Larson affiliated with any hospitals?

According to CMS data, Eric Larson is affiliated with Ascension NE Wisconsin - St Elizabeth Campus, Aurora Medical Ctr Oshkosh and Thedacare Medical Center-Waupaca.

When was this NPI record last updated?

The NPPES record for Eric Larson was last updated on July 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.