CHARLES BAYARD LARCOM IV MD
NPI 1336604297
Internal Medicine - Pulmonary Disease in Tacoma, WA

NPI Status: Active since February 05, 2019

Contact Information

9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (253) 968-2462
Fax: (253) 968-2972

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  • Individual
  • Male
  • Internal Medicine
  • Pulmonary Disease
  • PECOS Enrolled

About CHARLES LARCOM

This page provides the complete NPI Profile along with additional information for Charles Larcom, an internist established in Tacoma, Washington with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1336604297 assigned on February 2019. The practitioner's primary taxonomy code is 207RP1001X with license number 7491920 (WI). The provider is registered as an individual and his NPI record was last updated July 2025.

NPI
1336604297
Provider Name
CHARLES BAYARD LARCOM IV MD
Gender
Male
Entity Type
Individual
Location Address
9040 JACKSON AVE TACOMA, WA 98431
Location Phone
(253) 968-2462
Location Fax
(253) 968-2972
Mailing Address
8901 WISCONSIN AVE BETHESDA, MD 20889
Mailing Phone
(012) 954-1913
Mailing Fax
(253) 968-2972
Is Sole Proprietor?
No
Enumeration Date
02-05-2019
Last Update Date
07-18-2025
Code Navigator

An internist like Charles Larcom is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 9040 Fitzsimmons Dr
    Joint Base Lewis McChord, WA 98431
    (253) 968-0208
  • 8901 Wisconsin Ave
    Bethesda, MD 20889
    (012) 954-1913

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
7491920
License State
WI
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

7491920 (WI)
2207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

7491920 (WI)
3208D00000XAllopathic & Osteopathic Physicians

General Practice

74919-20 (WI)
4390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Charles Larcom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    3 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98431 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.99
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $32.74
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.78
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $25.19
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for CHARLES BAYARD LARCOM IV MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336604297
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661208218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 0 + 8 + 2 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1336604297 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KRISTAL CELESTE MELVIN CRNP

Nurse Practitioner

(Family)

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(804) 519-0462

MR. JOHN RICHARD PORTER PA-C

Physician Assistant

9040 JACKSON AVE
MAMC FAMILY MED DEPT
TACOMA, WA
ZIP 98431

(253) 968-0770

LORRAINE DENISE MASSE FNP

Nurse Practitioner

(Family)

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-0770

ANN PEPPERS ARNP

Nurse Practitioner

(Neonatal)

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-2252

JOSPEH W GLENN NP-C

Nurse Practitioner

(Adult Health)

9040 JACKSON AVE
MADIGAN ARMY MEDICAL CENTER WTB CLINIC
TACOMA, WA
ZIP 98431

(785) 239-7582

EVAN BRAGIN

Registered Nurse

(Psychiatric/Mental Health, Adult)

9040 JACKSON AVE
MCHJ-CLQ-C
TACOMA, WA
ZIP 98431

(253) 968-3564

ANDREA LYNN ZUNIGA LMHC

Counselor

(Mental Health)

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-4545

ALBERT ALLAN DIXON MD

Specialist

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-1374

DR. KAREN K O'BRIEN MD

Family Medicine

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-1190

TIMOTHY BRAND MD

Urology

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-2300

JESUS FLORES CRNA

Nurse Anesthetist, Certified Registered

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-2235

KATHLEEN A WHITE ARNP

Nurse Practitioner

(Adult Health)

9040 JACKSON AVE
MADIGAN ARMY MEDICAL CENTER
TACOMA, WA
ZIP 98431

(253) 968-0903

MS. MEKEISHA MONIQUE CAULK FNP-C

Nurse Practitioner

(Family)

9040 JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431

(253) 968-2252

DANILLE MILLER

Social Worker

(Clinical)

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-4159

DR. MICHAEL MATTHEW BRAUN D.O.

Family Medicine

9040 JACKSON AVE
MADIGAN ARMY MEDICAL CENTER
TACOMA, WA
ZIP 98431

(253) 968-1340

MS. TERRI C ANDREWS RN

Registered Nurse

(Critical Care Medicine)

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-0830

DR. STEPHEN JAMES SMITH PHARMD

Pharmacist

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-3237

VINCENT T FRY MD

Family Medicine

9040 JACKSON AVE
MADIGAN ARMY MEDICAL CENTER, FM DEPT
TACOMA, WA
ZIP 98431

(253) 968-1340

BRIAN LANCASTER

Registered Nurse

(Emergency)

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(253) 968-1490

IAN WHEELIS

Physical Therapist

9040 JACKSON AVE
TACOMA, WA
ZIP 98431

(125) 396-8078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336604297, enumerated as an "individual" on February 05, 2019.

The provider is located at 9040 JACKSON AVE TACOMA, WA 98431 and the phone number is (253) 968-2462.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.