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MR. ANDREW JON LARSON D.O.
NPI 1528296043
Pathology - Dermatopathology in Plymouth, MN

Active since June 23, 2009PECOS EnrolledAccepts Medicare Assignment
9900 13TH AVENUE NORTH, SUITE 2A, PLYMOUTH, MN 55441(763) 525-0363(763) 525-0369 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Andrew Jon Larson D.o. NPPES

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

MR. ANDREW JON LARSON D.O. (NPI 1528296043) is an individual dermatopathology provider in Plymouth, Minnesota, licensed in Indiana (02003283A) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528296043
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameMR. ANDREW JON LARSONCredential: D.O.
Location Address9900 13TH AVENUE NORTH, SUITE 2APlymouth, MN 55441-5035
Mailing Address9900 13th Avenue North, Suite 2aPlymouth, MN 55441-5035 · (763) 525-0363 · Fax (763) 525-0369
Phone(763) 525-0363
Fax(763) 525-0369
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 23, 2009
Last NPPES UpdateOctober 17, 2014
✔ NPI 1528296043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in IN · 02003283A
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
9900 13TH AVENUE NORTH, Plymouth, MN 55441
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Other Identifiers 1

Other02003283AIN · Indiana Professional Licensing Agency

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, CareSource, Medica 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 and accepts Medicare assignment

Mr. Andrew Jon Larson D.o. 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 ID1153475538
PECOS Enrollment IDI20090819000728
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 55441 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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

TWIN CITIES DERMATOPATHOLOGY, LLC
Pathology (Dermatopathology)
9900 13TH AVENUE NORTH, SUITE 2A
PLYMOUTH, MN 55441
Hennepin County (763) 525-0363
DR. VALDA NOREEN KAYE M.D.
Pathology (Dermatopathology)
9900 13TH AVENUE NORTH, SUITE 2A
PLYMOUTH, MN 55441
Hennepin County (763) 525-0363

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 Andrew Larson's NPI number?

The NPI number for Andrew Larson is 1528296043. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Andrew Larson located?

Andrew Larson practices at 9900 13th Avenue North Suite 2A, Plymouth, MN 55441. The listed phone number is (763) 525-0363.

What is Andrew Larson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Andrew Larson enrolled in Medicare?

Yes. Andrew 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.

What insurance does Andrew Larson accept?

Health plans from Avera Health Plans, CareSource, Medica, Mountain Health CO-OP and Network Health list Andrew 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 Andrew Larson was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.