LLOYD WADE LARISCY DDS
NPI 1578655809
Dentist - Periodontics in Dearborn, MI

Active since September 28, 2006PECOS Enrolled
24924 MICHIGAN AVE, DEARBORN, MI 48124(313) 274-8522(313) 274-5396 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lloyd Wade Lariscy Dds NPPES

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

LLOYD WADE LARISCY DDS (NPI 1578655809) is an individual periodontics provider in Dearborn, Michigan, licensed in Michigan (013287) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578655809
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameLLOYD WADE LARISCYCredential: DDS
Location Address24924 MICHIGAN AVEDearborn, MI 48124-1740
Mailing Address24924 Michigan AveDearborn, MI 48124-1740 · (313) 274-8522 · Fax (313) 274-5396
Fax(313) 274-5396
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1578655809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MI · 013287
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

24924 MICHIGAN AVE, Dearborn, MI 48124

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lloyd Wade Lariscy Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 6

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

Dentist (Periodontics)
24924 MICHIGAN AVE
DEARBORN, MI 48124
Dentist (Periodontics)
24924 MICHIGAN AVE
DEARBORN, MI 48124
Dermatology (MOHS-Micrographic Surgery)
24924 MICHIGAN AVE
DEARBORN, MI 48124
Dentist (Periodontics)
24924 MICHIGAN AVE
DEARBORN, MI 48124
Dermatology (MOHS-Micrographic Surgery)
24924 MICHIGAN AVE
DEARBORN, MI 48124
Nurse Practitioner (Family)
24924 MICHIGAN AVE
DEARBORN, MI 48124

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 Lloyd Lariscy's NPI number?

The NPI number for Lloyd Lariscy is 1578655809. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Lloyd Lariscy located?

Lloyd Lariscy practices at 24924 Michigan Ave, Dearborn, MI 48124. The listed phone number is (313) 274-8522.

What is Lloyd Lariscy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Lloyd Lariscy enrolled in Medicare?

Yes. Lloyd Lariscy is registered in the Medicare PECOS enrollment system.

What insurance does Lloyd Lariscy accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Lloyd Lariscy 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.

When was this NPI record last updated?

The NPPES record for Lloyd Lariscy was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.