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

Q: What is Charles Larcom's NPI number?

The NPI number for Charles Larcom is 1336604297. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Q: What is Charles Larcom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Larcom was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 05, 2019PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2462(253) 968-2972 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2023, Apr 16, 2021, Mar 7, 2019 and 1 more (4 updates tracked since 2019).

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About Charles Bayard Larcom Iv Md NPPES

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

CHARLES BAYARD LARCOM IV MD (NPI 1336604297) is an individual pulmonary disease provider in Tacoma, Washington, licensed in Wisconsin (7491920) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336604297

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameCHARLES BAYARD LARCOM IVCredential: MD

Location Address9040 JACKSON AVETacoma, WA 98431

Mailing Address8901 Wisconsin AveBethesda, MD 20889-5600 · (012) 954-1913 · Fax (301) 319-8751

Phone(253) 968-2462

Fax(253) 968-2972

Sole ProprietorNo

Enumeration DateFebruary 5, 2019

Last NPPES UpdateJuly 18, 20254 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1336604297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WI · 7491920

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 7491920 (WI)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 7491920 (WI)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 74919-20 (WI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9040 JACKSON AVE, Tacoma, WA 98431

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Secondary Practice Locations 2

Location 19040 Fitzsimmons DrJoint Base Lewis McChord, WA 98431-1000 · Phone (253) 968-0208

Location 28901 Wisconsin AveBethesda, MD 20889-5600 · Phone (012) 954-1913 · Fax (301) 319-8751

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Bayard Larcom Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

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 3

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

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

2 suppliers11 claims11 services$73.44 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers12 claims12 services$34.31 avg. paid by Medicare

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

DME-Other DME · category DE017N

2 suppliers11 claims11 services$215.40 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 20

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

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered