KELLI ANNE LARSON D.O.
NPI 1629336953
Family Medicine in Polson, MT

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment
107 RIDGEWATER DR, POLSON, MT 59860(406) 883-3737(406) 883-2669 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Anne Larson D.o. NPPES

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

KELLI ANNE LARSON D.O. (NPI 1629336953) is an individual family medicine provider in Polson, Montana, licensed in Montana (41446) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629336953
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLI ANNE LARSONCredential: D.O.
Location Address107 RIDGEWATER DRPolson, MT 59860-8977
Mailing Address107 6th Ave SwRonan, MT 59864-2634 · (406) 676-4441 · Fax (406) 676-0835
Fax(406) 883-2669
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 24, 2012
Last NPPES UpdateOctober 14, 2016
NPI 1629336953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MT · 41446
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
107 RIDGEWATER DR, Polson, MT 59860

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

Kelli Anne Larson D.o. 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 ID2466685359
PECOS Enrollment IDI20150916001809
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

St Luke Community Hospital

Critical Access Hospitals · Ronan, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271325
Location107 6th Ave SWRonan, MT 59864 · Lake County
Emergency services

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271343
Location6 13th Ave EPolson, MT 59860 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59860 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
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 7

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 supplier35 claims35 services$18.82 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims20 services$47.56 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 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
3 suppliers52 claims52 services$107.48 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$35.57 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers22 claims935 services$0.09 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 7

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

Physical Therapist
107 RIDGEWATER DR
POLSON, MT 59860
Physical Therapist
107 RIDGEWATER DR
POLSON, MT 59860
Nurse Practitioner
107 RIDGEWATER DR
POLSON, MT 59860
Physician Assistant
107 RIDGEWATER DR
POLSON, MT 59860
Family Medicine
107 RIDGEWATER DR
POLSON, MT 59860
Physician Assistant
107 RIDGEWATER DR
POLSON, MT 59860
Family Medicine
107 RIDGEWATER DR
POLSON, MT 59860

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 Kelli Larson's NPI number?

The NPI number for Kelli Larson is 1629336953. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Kelli Larson located?

Kelli Larson practices at 107 Ridgewater Dr, Polson, MT 59860. The listed phone number is (406) 883-3737.

What is Kelli Larson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelli Larson enrolled in Medicare?

Yes. Kelli 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 Kelli Larson accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Kelli 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.

Is Kelli Larson affiliated with any hospitals?

According to CMS data, Kelli Larson is affiliated with Logan Health Medical Center, St Luke Community Hospital and Providence St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Larson was last updated on October 14, 2016. 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.