DR. LARRY RIVERA LAZARO M.D.
NPI 1568449007
Internal Medicine in Iron Mountain, MI

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801(810) 692-4030(616) 222-0284 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Larry Rivera Lazaro M.d. NPPES

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

DR. LARRY RIVERA LAZARO M.D. (NPI 1568449007) is an individual internal medicine provider in Iron Mountain, Michigan, licensed in Michigan (4301069069) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1568449007
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LARRY RIVERA LAZAROCredential: M.D.
Location Address1721 S STEPHENSON AVEIron Mountain, MI 49801-3637
Mailing Address1721 S Stephenson AveIron Mountain, MI 49801-3637 · (810) 692-4030 · Fax (616) 222-0284
Fax(616) 222-0284
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 27, 2005
Last NPPES UpdateMay 30, 2013
✔ NPI 1568449007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301069069
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1721 S STEPHENSON AVE, Iron Mountain, MI 49801

Other Identifiers 4

Medicaid4786502MI
OtherLL069069MI · Blue Cross Pin
Medicare UPING83223MI
Medicare UPINM59260015MA

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

Dr. Larry Rivera Lazaro 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 ID9133105471
PECOS Enrollment IDI20040628000007, I20120127000287
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Larry Lazaro reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
3401 LUDINGTON ST
Escanaba, MI 49829
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
Internal Medicine
20095 GILBERT RD STE B
Big Rapids, MI 49307
  • Reassigned Medicare billing, Michigan enrollment
  • 34 clinicians in this Medicare group
Gynecologic Oncology
411 W BROADWAY ST STE B
Mount Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group
Nursing Facility/Intermediate Care Facility
3000 MONROE AVE NE
Grand Rapids, MI 49505
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
Internal Medicine
1959 E PARIS AVE SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 30 clinicians in this Medicare group
Psychiatry
15209 W MICHIGAN AVE
Marshall, MI 49068
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
Internal Medicine
818 RIVERSIDE AVE
Adrian, MI 49221
  • Reassigned Medicare billing, Michigan enrollment
  • 237 clinicians in this Medicare group
Physician Assistant
14820 N CAVE CREEK RD STE 2
Phoenix, AZ 85032
  • Reassigned Medicare billing, Arizona enrollment
  • 28 clinicians in this Medicare group
EEG
8950 VILLA LA JOLLA DR STE C117
La Jolla, CA 92037
  • Reassigned Medicare billing, Texas enrollment
Adult Mental Health
8950 VILLA LA JOLLA DR STE C117
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 4 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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
1,417 services41 patients
Measurement of brain wave activity (eeg), digital analysis 95957
The measurement of brain wave activity, or EEG, involves recording and analyzing electrical signals from your brain. Small sensors are placed on the scalp to capture these signals. This digital analysis helps in diagnosing conditions like epilepsy or sleep disorders.
569 services38 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
202 services53 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
91 services40 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
69 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services19 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49801 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers21 claims21 services$8.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Practitioner
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Physician Assistant
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801

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 Larry Lazaro's NPI number?

The NPI number for Larry Lazaro is 1568449007. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Larry Lazaro located?

Larry Lazaro practices at 1721 S Stephenson Ave, Iron Mountain, MI 49801. The listed phone number is (810) 692-4030.

What is Larry Lazaro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Larry Lazaro enrolled in Medicare?

Yes. Larry Lazaro 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 Larry Lazaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Lazaro reassigns Medicare benefits to 10 organizations: Sound Inpatient Physicians - Michigan, PLLC (Escanaba, MI), Michigan Primary Care Partners P C (Big Rapids, MI), Sparrow Carson Hospital (Mount Pleasant, MI), State Of Michigan Office Of Financial Management (Grand Rapids, MI), Age Management Of West Michigan PC (Grand Rapids, MI) and 5 more organizations, listed in the Medicare section above. 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 Larry Lazaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Lazaro accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Paramount and Priority Health and 1 other insurer list Larry Lazaro 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.

Is Larry Lazaro affiliated with any hospitals?

According to CMS data, Larry Lazaro is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Larry Lazaro was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.