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JEREMY T LARSON MD
NPI 1386638344
Pediatrics - Pediatric Emergency Medicine in Dayton, OH

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3600(937) 641-5802 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2023, Oct 18, 2021, Jan 5, 2021 and 2 more (5 updates tracked since 2016).

About Jeremy T Larson Md NPPES

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

JEREMY T LARSON MD (NPI 1386638344) is an individual pediatric emergency medicine provider in Dayton, Ohio, licensed in Ohio (35.072406) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miamisburg, and is a graduate of University Of Pittsburgh School Of Medicine (1994).

NPPES Registry Identity

NPI1386638344
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJEREMY T LARSONCredential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1815
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000
Phone(937) 641-3600
Fax(937) 641-5802
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1994
Enumeration DateSeptember 7, 2005
Last NPPES UpdateOctober 13, 20235 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1386638344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in OH · 35.072406
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
1 CHILDRENS PLZ, Dayton, OH 45404
Open in Google Maps ↗

Secondary Practice Location 1

Location 13333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-3400 · Fax (937) 641-4880

Other Identifiers 1

Medicaid2010844OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy T Larson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486846854
PECOS Enrollment IDI20101005000300
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 Reassignment

Medicare enrollment records show Jeremy Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dayton Children's Specialty Physicians, Inc.
Same address
Pediatrics
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
  • 479 clinicians in this Medicare group
NPI 1225192610 (937) 641-4000

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

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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
MISS SAUNDRA D ZERBE FNP
Nurse Practitioner (Family)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600

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 Jeremy Larson's NPI number?

The NPI number for Jeremy Larson is 1386638344. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Jeremy Larson located?

Jeremy Larson practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3600.

What is Jeremy Larson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jeremy Larson enrolled in Medicare?

Yes. Jeremy Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeremy Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Larson reassigns Medicare benefits to Dayton Children's Specialty Physicians, Inc. (Dayton, OH). The 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 Jeremy Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Larson accept?

Health plans from CareSource list Jeremy Larson 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 Jeremy Larson was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.