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DARIN JAMES LARSON M.D.
NPI 1568842391
Orthopaedic Surgery in Marshalltown, IA

Active since June 07, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
51 UNITYPOINT WAY, MARSHALLTOWN, IA 50158(641) 844-6259 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Aug 24, 2021, Aug 10, 2021 and 2 more (5 updates tracked since 2020).

About Darin James Larson M.d. NPPES

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

DARIN JAMES LARSON M.D. (NPI 1568842391) is an individual orthopaedic surgery provider in Marshalltown, Iowa, licensed in Iowa (MD-48124) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Marshalltown, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2015).

NPPES Registry Identity

NPI1568842391
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDARIN JAMES LARSONCredential: M.D.
Location Address51 UNITYPOINT WAYMarshalltown, IA 50158-4750
Mailing Address51 Unitypoint WayMarshalltown, IA 50158-4750 · (641) 844-6259
Phone(641) 844-6259
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2015
Enumeration DateJune 7, 2015
Last NPPES UpdateNovember 6, 20235 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1568842391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IA · MD-48124✔ Licensed in NE · 7420
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
51 UNITYPOINT WAY, Marshalltown, IA 50158
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Darin James Larson 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 ID5193032910
PECOS Enrollment IDI20210811001680
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.

Areas of Expertise CMS Part B claims 5

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
50 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services27 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.
30 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160001
Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County
Emergency services

Grundy County Memorial Hospital

Critical Access Hospitals · Grundy Center, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161303
Location201 East J AvenueGrundy Center, IA 50638 · Grundy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50158 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MS. MAGGIE POTTER PA-S
Physician Assistant
51 UNITYPOINT WAY
MARSHALLTOWN, IA 50158
Marshall County (641) 753-2752

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 Darin Larson's NPI number?

The NPI number for Darin Larson is 1568842391. It was assigned to this individual provider in the NPPES registry on June 7, 2015.

Where is Darin Larson located?

Darin Larson practices at 51 Unitypoint Way, Marshalltown, IA 50158. The listed phone number is (641) 844-6259.

What is Darin Larson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Darin Larson enrolled in Medicare?

Yes. Darin 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 Darin Larson accept?

Health plans from Medica and Oscar Insurance Company list Darin 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.

Is Darin Larson affiliated with any hospitals?

According to CMS data, Darin Larson is affiliated with Unitypoint Health - Marshalltown and Grundy County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Darin Larson was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.