DR. DOUGLAS PHILLIP LARSEN DO
NPI 1417063736
Pediatrics in Albany, NY

Active since August 21, 2006PECOS Enrolled
103 GREAT OAKS BLVD, ALBANY, NY 12203(518) 464-1392(518) 464-0445 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Douglas Phillip Larsen Do NPPES

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

DR. DOUGLAS PHILLIP LARSEN DO (NPI 1417063736) is an individual pediatrics provider in Albany, New York, licensed in New York (119564) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417063736
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DOUGLAS PHILLIP LARSENCredential: DO
Location Address103 GREAT OAKS BLVDAlbany, NY 12203
Mailing Address103 Great Oaks BlvdAlbany, NY 12203 · (518) 464-1392 · Fax (518) 464-0445
Fax(518) 464-0445
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417063736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 119564
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.
103 GREAT OAKS BLVD, Albany, NY 12203

Other Identifiers 1

Medicaid00427289NY

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. Douglas Phillip Larsen Do 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 12203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

Pediatrics
103 GREAT OAKS BLVD
ALBANY, NY 12203
Pediatrics
103 GREAT OAKS BLVD
ALBANY, NY 12203
Pediatrics (Adolescent Medicine)
103 GREAT OAKS BLVD
ALBANY, NY 12203

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 Douglas Larsen's NPI number?

The NPI number for Douglas Larsen is 1417063736. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Douglas Larsen located?

Douglas Larsen practices at 103 Great Oaks Blvd, Albany, NY 12203. The listed phone number is (518) 464-1392.

What is Douglas Larsen's specialty?

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

Is Douglas Larsen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Douglas Larsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.