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DR. LARRY A SARGENT MD
NPI 1346217882
Surgery - Plastic and Reconstructive Surgery in Bountiful, UT

Active since March 03, 2006Opted out of Medicare · through Jan 1, 2028
620 MEDICAL DR, SUITE 310, BOUNTIFUL, UT 84010(801) 295-6554(801) 294-4983 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larry A Sargent Md NPPES

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

DR. LARRY A SARGENT MD (NPI 1346217882) is an individual plastic and reconstructive surgery provider in Bountiful, Utah, licensed in Tennessee (18170) and active in the NPI registry since March 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1346217882
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. LARRY A SARGENTCredential: MD
Location Address620 MEDICAL DR, SUITE 310Bountiful, UT 84010-5084
Mailing Address620 Medical Dr, Suite 310Bountiful, UT 84010-5084 · (801) 295-6554 · Fax (801) 294-4983
Phone(801) 295-6554
Fax(801) 294-4983
Sole ProprietorNo
Enumeration DateMarch 3, 2006
Last NPPES UpdateOctober 17, 2016
✔ NPI 1346217882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TN · 18170
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 18170 (TN)
620 MEDICAL DR, Bountiful, UT 84010
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Other Identifiers 10

Medicare PIN3027155TN
Other0151430TN · Bcbs
Other1348074TN · United Healthcare Ins.
OtherPLF03906636TN · Champus
Other240004378TN · Railroad Medicare
Medicaid000348466ATN
OtherTN0105TN · John Deere Ins.
Medicare UPINC49446
Other2006636TN · Bcbs Group
Other1114640001TN · Palmetto Dme

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Larry A Sargent Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

DR. KATHLEEN M LIOU MD
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Davis County (801) 295-2888
MELISSA YAMASHIRO PA
Physician Assistant (Medical)
620 MEDICAL DR, SUITE 205
BOUNTIFUL, UT 84010
Davis County (801) 298-0057
MR. NATHAN C WARD MD
Obstetrics & Gynecology
620 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Davis County (801) 299-2229
DANIEL S. SELLERS M.D. LLC
Plastic Surgery (Surgery of the Hand)
620 MEDICAL DR, SUITE 310
BOUNTIFUL, UT 84010
Davis County (801) 295-6554
DR. GINA M MUSCOLINO M.D.
Obstetrics & Gynecology
620 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Davis County (801) 299-2229
DR. JONATHAN MILTON TEW M.D.
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Davis County (801) 295-2888
DR. ALLISON L GROEBS MD
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Davis County (801) 295-2888
LAKEVIEW NEUROSURGERY CLINIC LLC
Neurological Surgery
620 MEDICAL DR, SUITE 300
BOUNTIFUL, UT 84010
Davis County (801) 299-3871

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 Larry Sargent's NPI number?

The NPI number for Larry Sargent is 1346217882. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Larry Sargent located?

Larry Sargent practices at 620 Medical Dr Suite 310, Bountiful, UT 84010. The listed phone number is (801) 295-6554.

What is Larry Sargent's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Larry Sargent enrolled in Medicare?

No. Larry Sargent has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Larry Sargent was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.