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

Q: 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.

Q: What is Micah Larson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Micah Larson was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2025, Apr 8, 2022 (2 updates tracked since 2022).

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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 Address7974 Uw Health CtMiddleton, WI 53562-5531

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 27, 20252 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ 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 19

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

MICHAEL H MCDONALD MDSC

Otolaryngology