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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICAH MAE LARSON MD
NPI 1528700796
Family Medicine in Madison, WI

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment
3209 DRYDEN DR, MADISON, WI 53704(608) 241-9020(608) 274-0310 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Jun 4, 2025, Apr 8, 2022 (3 updates tracked since 2022).

About Micah Mae Larson Md NPPES

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

MICAH MAE LARSON MD (NPI 1528700796) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (83153) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of University Of Wisconsin School Of Medicine (2022).

NPPES Registry Identity

NPI1528700796
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICAH MAE LARSONCredential: MD
Location Address3209 DRYDEN DRMadison, WI 53704-3015
Mailing Address430 Cantwell Ct Apt DMadison, WI 53703-3787
Phone(608) 241-9020
Fax(608) 274-0310
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2022
Enumeration DateApril 8, 2022
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1528700796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 83153
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.
3209 DRYDEN DR, Madison, WI 53704
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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

Micah Mae Larson Md 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 ID1355721705
PECOS Enrollment IDI20250611004122
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.

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53704 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

MARY ZEITLER MD
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
MARIANA GANDOLFO BUSTAMANTE MS, RDN, CD
Dietitian, Registered
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
SAVANNAH NOELLE RIOS MD
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
RICHARD L BROWN MD
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
AIDAN CHENG KHODA DO
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
RITA LILIANE HENIEN BYBEE DO
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
ASHLEY MARIE LANZAROTTI DO
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
DR. KATRINA WEIMER M.D.
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020

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 Micah Larson's NPI number?

The NPI number for Micah Larson is 1528700796. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Micah Larson located?

Micah Larson practices at 3209 Dryden Dr, Madison, WI 53704. The listed phone number is (608) 241-9020.

What is Micah Larson's specialty?

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

Is Micah Larson enrolled in Medicare?

Yes. Micah 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.

Is Micah Larson affiliated with any hospitals?

According to CMS data, Micah Larson is affiliated with Ssm Health St Mary's Hospital - Madison and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Micah Larson was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.