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LARRY SARGINGER M.D.
NPI 1417946849
Family Medicine in Kane, PA

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
67.41/100
CMS Quality Rating
101 WALNUT ST, KANE, PA 16735(814) 975-1033(814) 975-1036 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 23, 2026, Jun 28, 2021, Aug 23, 2019 (3 updates tracked since 2019).

About Larry Sarginger M.d. NPPES

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

LARRY SARGINGER M.D. (NPI 1417946849) is an individual family medicine provider in Kane, Pennsylvania, licensed in Pennsylvania (MD027499E) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Temple University School Of Medicine (1981).

NPPES Registry Identity

NPI1417946849
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLARRY SARGINGERCredential: M.D.
Location Address101 WALNUT STKane, PA 16735-1277
Mailing Address101 Walnut StKane, PA 16735-1277 · (814) 975-1033 · Fax (814) 975-1036
Phone(814) 975-1033
Fax(814) 975-1036
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1981
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
✔ NPI 1417946849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD027499E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 WALNUT ST, Kane, PA 16735
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larry Sarginger M.d. 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 ID2961466834
PECOS Enrollment IDI20041119000279
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
840 services316 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Upmc Cole

Critical Access Hospitals · Coudersport, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391313
Location1001 East Second StreetCoudersport, PA 16915 · Potter County
Emergency services Birthing friendly

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16735 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.37
Improvement Activities40
Cost56.67

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers48 claims90 services$5.56 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$43.93 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers14 claims14 services$74.59 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers12 claims12 services$23.28 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers18 claims90 services$2.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$7.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GARY LEE ANDERSON D.O.
Internal Medicine
101 WALNUT ST
KANE, PA 16735
McKean County (814) 975-1033

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 Sarginger's NPI number?

The NPI number for Larry Sarginger is 1417946849. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Larry Sarginger located?

Larry Sarginger practices at 101 Walnut St, Kane, PA 16735. The listed phone number is (814) 975-1033.

What is Larry Sarginger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Larry Sarginger enrolled in Medicare?

Yes. Larry Sarginger 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.

Is Larry Sarginger affiliated with any hospitals?

According to CMS data, Larry Sarginger is affiliated with Upmc Chautauqua At Wca, Upmc Cole and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Larry Sarginger was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.