PENNY LEE LARSON M.D.
NPI 1528057213
Obstetrics & Gynecology in Rancho Cordova, CA

Q: What is Penny Larson's NPI number?

The NPI number for Penny Larson is 1528057213. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Q: What is Penny Larson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Penny Larson was last updated on June 15, 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.

Active since October 17, 2005PECOS EnrolledAccepts Medicare Assignment

12646 THORNBERG WAY, RANCHO CORDOVA, CA 95742(916) 238-6070(916) 238-6070 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Penny Lee Larson M.d. NPPES

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

PENNY LEE LARSON M.D. (NPI 1528057213) is an individual obstetrics & gynecology provider in Rancho Cordova, California, licensed in California (A93985) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1998).

NPPES Registry Identity

NPI1528057213

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NamePENNY LEE LARSONCredential: M.D.

Location Address12646 THORNBERG WAYRancho Cordova, CA 95742-7839

Mailing Address1756 Magenta DrRoseville, CA 95747-4915 · (530) 300-8576

Phone(916) 238-6070

Fax(916) 238-6070

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1998

Enumeration DateOctober 17, 2005

Last NPPES UpdateJune 15, 2023

NPPES CertifiedJune 15, 2023

✔ NPI 1528057213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CA · A93985✔ Licensed in IN · 01051820A✔ Licensed in GA · 55075

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License A93985 (CA)

12646 THORNBERG WAY, Rancho Cordova, CA 95742

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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

Penny Lee Larson 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 ID2769485333

PECOS Enrollment IDI20060821000430

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 95742 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

65%162 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

31%179 patients2/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

15%53 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

YELLOW WOOD RECOVERY INC

Substance Abuse Rehabilitation Facility

12646 THORNBERG WAY
RANCHO CORDOVA, CA 95742

Sacramento County (916) 238-6070

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 Penny Larson's NPI number?

The NPI number for Penny Larson is 1528057213. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Penny Larson located?

Penny Larson practices at 12646 Thornberg Way, Rancho Cordova, CA 95742. The listed phone number is (916) 238-6070.

What is Penny Larson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Penny Larson enrolled in Medicare?

Yes. Penny 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.

When was this NPI record last updated?

The NPPES record for Penny Larson was last updated on June 15, 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.