1. Home
  2. Directory
  3. Idaho
  4. Burley
  5. Dentist
  6. NPI Profile

DR. MICHAEL ANDREW LARSEN D.D.S.
NPI 1376570242
Dentist - General Practice in Burley, ID

Active since June 27, 2006PECOS Enrolled
1361 E 16TH ST, BURLEY, ID 83318(208) 677-5198(208) 678-2245 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Andrew Larsen D.d.s. NPPES

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

DR. MICHAEL ANDREW LARSEN D.D.S. (NPI 1376570242) is an individual general practice provider in Burley, Idaho, licensed in Idaho (D-3993) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376570242
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL ANDREW LARSENCredential: D.D.S.
Location Address1361 E 16TH STBurley, ID 83318-2008
Mailing Address794 Eastland DrTwin Falls, ID 83301-6856 · (208) 734-3312 · Fax (208) 734-5036
Phone(208) 677-5198
Fax(208) 678-2245
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateNovember 27, 2012
✔ NPI 1376570242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-3993
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License DE10258 (WA)
1361 E 16TH ST, Burley, ID 83318
Open in Google Maps ↗

Other Identifiers 2

Medicaid5050232WA
Medicaid807518200ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Andrew Larsen D.d.s. 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 83318 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 2

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

DR. KELBY JAMES OLSON D.M.D.
Dentist (General Practice)
1361 E 16TH ST, #2
BURLEY, ID 83318
Cassia County (208) 677-5198
BRETT JACK LANCASTER D.M.D
Dentist (General Practice)
1361 E 16TH ST, #2
BURLEY, ID 83318
Cassia County (208) 677-5198

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 Michael Larsen's NPI number?

The NPI number for Michael Larsen is 1376570242. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Michael Larsen located?

Michael Larsen practices at 1361 E 16th St, Burley, ID 83318. The listed phone number is (208) 677-5198.

What is Michael Larsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Larsen enrolled in Medicare?

Yes. Michael Larsen is registered in the Medicare PECOS enrollment system.

What insurance does Michael Larsen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Michael Larsen 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.

When was this NPI record last updated?

The NPPES record for Michael Larsen was last updated on November 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.