DR. MARC RICHARD LARSEN-HALLOCK DO
NPI 1295362614
Physical Medicine & Rehabilitation in Fort Wayne, IN

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845(260) 425-6780(260) 425-6615 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Jul 11, 2025, Mar 25, 2020 (3 updates tracked since 2020).

About Dr. Marc Richard Larsen-hallock Do NPPES

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

DR. MARC RICHARD LARSEN-HALLOCK DO (NPI 1295362614) is an individual physical medicine & rehabilitation provider in Fort Wayne, Indiana, licensed in Indiana (02008414A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295362614
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. MARC RICHARD LARSEN-HALLOCKCredential: DO
Location Address11104 PARKVIEW CIRCLE DR STE 110Fort Wayne, IN 46845-1673
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-6615
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1295362614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in IN · 02008414A
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
11104 PARKVIEW CIRCLE DR STE 110, Fort Wayne, IN 46845

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

Dr. Marc Richard Larsen-hallock Do 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 ID941605117
PECOS Enrollment IDI20250812004124
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.

Hospital Affiliations CMS Care Compare

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Critical Care Medicine)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Psychiatry & Neurology (Neurology)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Physician Assistant
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Neurological Surgery
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Psychiatry & Neurology (Neurology)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Physical Medicine & Rehabilitation
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Clinical Neuropsychologist
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Nurse Practitioner
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845

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 Marc Larsen-hallock's NPI number?

The NPI number for Marc Larsen-hallock is 1295362614. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Marc Larsen-hallock located?

Marc Larsen-hallock practices at 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845. The listed phone number is (260) 425-6780.

What is Marc Larsen-hallock's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Marc Larsen-hallock enrolled in Medicare?

Yes. Marc Larsen-hallock 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 Marc Larsen-hallock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Marc Larsen-hallock 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 Marc Larsen-hallock affiliated with any hospitals?

According to CMS data, Marc Larsen-hallock is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Larsen-hallock was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.