MR. ANDREW JON LARSON D.O.
NPI 1528296043
Pathology - Dermatopathology in Plymouth, MN
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
Specialties & Licenses
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hope, MN 55428
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PLYMOUTH, MN 55441
PLYMOUTH, MN 55441
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.
Which organizations bill Medicare for Andrew Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Larson reassigns Medicare benefits to 2 organizations: Fairview Express Care (New Hope, MN) and Dermatology Specialists, PA (Edina, MN). Each 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 Andrew Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Larson accept?
Health plans from CareSource 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 12 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.
# Mr. Andrew Jon Larson, D.O. · NPI 1528296043
Dermatopathology physician in Plymouth, Minnesota. Individual provider, active in the CMS NPPES registry since June 23, 2009.
## Identity
- **NPI:** 1528296043 (Entity type: Individual)
- **Enumerated:** June 23, 2009
- **Primary specialty:** Pathology - Dermatopathology · taxonomy 207ZD0900X
- **State license:** 02003283A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 9900 13TH AVENUE NORTH, SUITE 2A, Plymouth, MN 55441-5035
- **Phone:** (763) 525-0363 · **Fax:** (763) 525-0369
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1316318074, New Hope, MN); Dermatology Specialists, PA (NPI 1992752117, Edina, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** October 17, 2014
- **Other identifiers:** Other 02003283A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1528296043) · Data from the CMS NPPES public registry.