LARISSA ANNE KAVANAGH PA
NPI 1306256250
Physician Assistant in Charlotte, NC

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
10650 PARK RD, CHARLOTTE, NC 28210(704) 667-3840 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, May 10, 2023, Mar 14, 2023 and 59 more (62 updates tracked since 2015).

About Larissa Anne Kavanagh Pa NPPES

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

LARISSA ANNE KAVANAGH PA (NPI 1306256250) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-05013) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1306256250
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARISSA ANNE KAVANAGHCredential: PA
Location Address10650 PARK RDCharlotte, NC 28210-8538
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 30, 2014
Last NPPES UpdateJuly 17, 202462 updates tracked since enumeration
NPI 1306256250 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 NC · 0010-05013
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.
10650 PARK RD, Charlotte, NC 28210

Secondary Practice Locations 4

Location 11237 Harding Pl, Ste 3100Charlotte, NC 28204 · Phone (704) 373-0212
Location 21350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255
Location 31025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-1813
Location 4101 E W T Harris Blvd, Ste 1213Charlotte, NC 28262-3485 · Phone (704) 863-1950

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

Larissa Anne Kavanagh Pa 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 ID4284851080
PECOS Enrollment IDI20140818001866, I20191115001875
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

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 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.
141 services116 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
10650 PARK RD, SUITE 420
CHARLOTTE, NC 28210
Nurse Practitioner
10650 PARK RD, STE 330
CHARLOTTE, NC 28210
Radiology (Radiation Oncology)
10650 PARK RD
CHARLOTTE, NC 28210
Internal Medicine
10650 PARK RD, SUITE 420
CHARLOTTE, NC 28210
Allergy & Immunology
10650 PARK RD
CHARLOTTE, NC 28210
Internal Medicine (Cardiovascular Disease)
10650 PARK RD
CHARLOTTE, NC 28210
Allergy & Immunology
10650 PARK RD
CHARLOTTE, NC 28210
Pharmacist (Oncology)
10650 PARK RD
CHARLOTTE, NC 28210

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 Larissa Kavanagh's NPI number?

The NPI number for Larissa Kavanagh is 1306256250. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Larissa Kavanagh located?

Larissa Kavanagh practices at 10650 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 667-3840.

What is Larissa Kavanagh's specialty?

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

Is Larissa Kavanagh enrolled in Medicare?

Yes. Larissa Kavanagh 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 Larissa Kavanagh accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Larissa Kavanagh 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 Larissa Kavanagh affiliated with any hospitals?

According to CMS data, Larissa Kavanagh is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Larissa Kavanagh was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.