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ANDREA LARSEN
NPI 1578050068
Physician Assistant in Buffalo, NY

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment
100 COLLEGE PKWY, BUFFALO, NY 14221(716) 626-0093 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2021, Sep 20, 2018, Apr 19, 2018 (3 updates tracked since 2018).

About Andrea Larsen NPPES

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

ANDREA LARSEN (NPI 1578050068) is an individual physician assistant in Buffalo, New York, licensed in New York (022121) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578050068
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA LARSEN
Location Address100 COLLEGE PKWYBuffalo, NY 14221-6800
Mailing Address4360 Rushford DrHamburg, NY 14075-3081
Phone(716) 626-0093
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 19, 2018
Last NPPES UpdateNovember 8, 20213 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1578050068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 022121
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 COLLEGE PKWY, Buffalo, NY 14221
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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

Andrea Larsen 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 ID8921359191
PECOS Enrollment IDI20180927000420
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 6

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.

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.
136 services98 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.
130 services80 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
116 services23 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
108 services15 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
67 services43 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
1 supplier12 claims12 services$37.72 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.

WALTER BROWN PT
Physical Therapist
100 COLLEGE PKWY, SUITE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 626-0093
MICHAEL MASSARO PT
Physical Therapist
100 COLLEGE PKWY, SUITE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 626-0093
GREGORY D GROTH RPAC
Physician Assistant
100 COLLEGE PKWY, SUITE 220
WILLIAMSVILLE, NY 14221
Erie County (716) 626-9900
ANNE D. EHRLICH MD
Radiology (Diagnostic Radiology)
100 COLLEGE PKWY, SUITE 180
WILLIAMSVILLE, NY 14221
Erie County (716) 636-1902
ANNALISE HOFFMAN
Speech-Language Pathologist
100 COLLEGE PKWY
WILLIAMSVILLE, NY 14221
Erie County (716) 871-9915
MICHAEL S CICCHETTI MD
Physical Medicine & Rehabilitation
100 COLLEGE PKWY, SUITE 100
WILLIAMSVILLE, NY 14221
Erie County (434) 924-2047
RICHARD D THOMAS MD
Radiology (Diagnostic Radiology)
100 COLLEGE PKWY, SUITE 180
WILLIAMSVILLE, NY 14221
Erie County (716) 636-1902
AMY P EARLY MD
Internal Medicine (Medical Oncology)
100 COLLEGE PKWY, SUITE 290
WILLIAMSVILLE, NY 14221
Erie County (716) 845-8711

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 Andrea Larsen's NPI number?

The NPI number for Andrea Larsen is 1578050068. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Andrea Larsen located?

Andrea Larsen practices at 100 College Pkwy, Buffalo, NY 14221. The listed phone number is (716) 626-0093.

What is Andrea Larsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrea Larsen enrolled in Medicare?

Yes. Andrea Larsen 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.

When was this NPI record last updated?

The NPPES record for Andrea Larsen was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.