LARRY D ALEXANDER P.A.
NPI 1629092424
Physician Assistant - Surgical in Traverse City, MI

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684(231) 935-2400(231) 392-2424 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry D Alexander P.a. NPPES

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

LARRY D ALEXANDER P.A. (NPI 1629092424) is an individual surgical provider in Traverse City, Michigan, licensed in Michigan (5601004425) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1629092424
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameLARRY D ALEXANDERCredential: P.A.
Location Address1221 SIXTH ST STE 300Traverse City, MI 49684-2360
Mailing Address4045 W Royal DrTraverse City, MI 49684-8965 · (231) 935-0900 · Fax (231) 935-0308
Fax(231) 392-2424
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 29, 2019
NPI 1629092424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MI · 5601004425
1221 SIXTH ST STE 300, Traverse City, MI 49684

Secondary Practice Location 1

Location 14045 W Royal DrTraverse City, MI 49684-8965 · Phone (231) 935-0900 · Fax (231) 935-0308

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

Larry D Alexander P.a. 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 ID7810952546
PECOS Enrollment IDI20041122001197
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Physician Assistant
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Vascular Neurology)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Vascular Neurology)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Specialist
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684

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 Larry Alexander's NPI number?

The NPI number for Larry Alexander is 1629092424. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Larry Alexander located?

Larry Alexander practices at 1221 Sixth St Ste 300, Traverse City, MI 49684. The listed phone number is (231) 935-2400.

What is Larry Alexander's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Larry Alexander enrolled in Medicare?

Yes. Larry Alexander 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 Larry Alexander accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Larry Alexander 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 Larry Alexander affiliated with any hospitals?

According to CMS data, Larry Alexander is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Larry Alexander was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.