DALLEN J LARSON PA-C
NPI 1609865203
Physician Assistant in Ogden, UT

Q: What is Dallen Larson's NPI number?

The NPI number for Dallen Larson is 1609865203. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Q: What is Dallen Larson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dallen Larson was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 17, 2005PECOS EnrolledAccepts Medicare Assignment

4650 HARRISON BLVD, OGDEN, UT 84403(801) 475-3021(801) 475-3031 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dallen J Larson Pa-c NPPES

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

DALLEN J LARSON PA-C (NPI 1609865203) is an individual physician assistant in Ogden, Utah, licensed in Utah (3322321206) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1609865203

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDALLEN J LARSONCredential: PA-C

Location Address4650 HARRISON BLVDOgden, UT 84403-4303

Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3021 · Fax (801) 475-3031

Phone(801) 475-3021

Fax(801) 475-3031

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateOctober 17, 2005

Last NPPES UpdateJanuary 17, 2017

✔ NPI 1609865203 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 UT · 3322321206

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.

4650 HARRISON BLVD, Ogden, UT 84403

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Other Identifiers 2

Medicare UPINS22649UT

Medicare PINU005193034UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Dallen J Larson Pa-c 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 ID3779527361

PECOS Enrollment IDI20050614001416

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 84403 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$13.49 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims22 services$87.76 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.

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