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

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: July 19, 2026.

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
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

Other Identifiers 2

Medicare UPINS22649UT
Medicare PINU005193034UT

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 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.

Areas of Expertise CMS Part B claims 28

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, 20-29 minutes 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.
231 services189 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
159 services118 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
141 services116 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
94 services17 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
90 services83 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
90 services84 patients

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.

Pediatrics
4650 HARRISON BLVD
OGDEN, UT 84403
Dermatology
4650 HARRISON BLVD
OGDEN, UT 84403
Surgery
4650 HARRISON BLVD
OGDEN, UT 84403
Pharmacy (Community/Retail Pharmacy)
4650 HARRISON BLVD
OGDEN, UT 84403
Pharmacist
4650 HARRISON BLVD
OGDEN, UT 84403
Dietitian, Registered
4650 HARRISON BLVD
OGDEN, UT 84403
Physician Assistant
4650 HARRISON BLVD
OGDEN, UT 84403
Obstetrics & Gynecology
4650 HARRISON BLVD, SUITE 4650
OGDEN, UT 84403

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 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.

Where is Dallen Larson located?

Dallen Larson practices at 4650 Harrison Blvd, Ogden, UT 84403. The listed phone number is (801) 475-3021.

What is Dallen Larson's specialty?

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

Is Dallen Larson enrolled in Medicare?

Yes. Dallen 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 Dallen Larson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Dallen 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.

When was this NPI record last updated?

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