AMY S LARSON M.D.
NPI 1356442172
Pediatrics in Galesburg, IL

Q: What is Amy Larson's NPI number?

The NPI number for Amy Larson is 1356442172. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Amy S. Fleisher.

Q: What is Amy Larson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Larson was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 26, 2006PECOS Enrolled

834 N SEMINARY ST, SUITE 304, GALESBURG, IL 61401(309) 342-2144(309) 342-5104 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Amy S Larson M.d. NPPES

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

AMY S LARSON M.D. (NPI 1356442172) is an individual pediatrics provider in Galesburg, Illinois, licensed in Illinois (036106772) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356442172

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMY S LARSONCredential: M.D.

Location Address834 N SEMINARY ST, SUITE 304Galesburg, IL 61401-2852

Mailing Address834 N Seminary St, Suite 304Galesburg, IL 61401-2852 · (309) 342-2144 · Fax (309) 342-5104

Phone(309) 342-2144

Fax(309) 342-5104

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateFebruary 17, 2012

✔ NPI 1356442172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036106772

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

834 N SEMINARY ST, Galesburg, IL 61401

Open in Google Maps ↗

Other Names 1

Former Name (1)Amy S. Fleisher

Other Identifiers 8

Medicaid036106772IL

Other364271985-28John Deere

Other7860434Aetna

Other11053882Caqh

Medicare ID-Type Unspecified530390IL

Other4815127Bc/bs

Medicare UPINH76423IL

Medicare ID-Type Unspecified370022294IL · Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy S Larson M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Amy Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Mary Medical Center

3.5 mi

Anesthesiology

3333 N SEMINARY ST
Galesburg, IL 61401

Reassigned Medicare billing, Illinois enrollment
101 clinicians in this Medicare group

NPI 1922439785 (309) 344-3161

Osf Multi-Specialty Group

38 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1154908929 (309) 683-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

ROBERT CURRIE M.D.

Family Medicine

834 N SEMINARY ST, 201
GALESBURG, IL 61401

Knox County (309) 343-7130

MIDWEST ORTHOPEDIC SERVICES, SC

Orthopaedic Surgery

834 N SEMINARY ST, SUITE 406
GALESBURG, IL 61401

Knox County (309) 341-1301

MRS. COURTNEY SUE KNUTH-GALVIN

Nurse Practitioner (Family)

834 N SEMINARY ST
GALESBURG, IL 61401

Knox County (309) 343-5114

AMY LS MEFFORD CNM MS

Advanced Practice Midwife

834 N SEMINARY ST, STE 402
GALESBURG, IL 61401

Knox County (309) 343-5117

JAMES R RUPPEL M.D.

Ophthalmology

834 N SEMINARY ST, STE 103
GALESBURG, IL 61401

Knox County (309) 829-5311

KEITH PEACHEY M.D.

Family Medicine

834 N SEMINARY ST, 201
GALESBURG, IL 61401

Knox County (309) 343-7135

BARBARA JB CLARK MPAS PAC

Physician Assistant

834 N SEMINARY ST, STE 402
GALESBURG, IL 61401

Knox County (309) 343-5117

MARK DAVIS M.D.,F.A.C.S.

Surgery

834 N SEMINARY ST, SUITE 503
GALESBURG, IL 61401

Knox County (309) 343-7773

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 Amy Larson's NPI number?

The NPI number for Amy Larson is 1356442172. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Amy S. Fleisher.

Where is Amy Larson located?

Amy Larson practices at 834 N Seminary St Suite 304, Galesburg, IL 61401. The listed phone number is (309) 342-2144.

What is Amy Larson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amy Larson enrolled in Medicare?

Yes. Amy Larson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Larson reassigns Medicare benefits to 2 organizations: St Mary Medical Center (Galesburg, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Larson was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.