BRETT C LARSEN PA
NPI 1639367337
Physician Assistant in Roosevelt, UT

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
99.76/100
CMS Quality Rating
210 W 300 N, 75-3, ROOSEVELT, UT 84066(435) 722-3971(435) 722-9291 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brett C Larsen Pa NPPES

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

BRETT C LARSEN PA (NPI 1639367337) is an individual physician assistant in Roosevelt, Utah, licensed in Utah (6704805-1206) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Merit Health Natchez, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1639367337
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRETT C LARSENCredential: PA
Location Address210 W 300 N, 75-3Roosevelt, UT 84066-2336
Mailing Address210 W 300 N, 75-3Roosevelt, UT 84066-2336 · (435) 722-3971 · Fax (435) 722-9291
Fax(435) 722-9291
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 9, 2007
Last NPPES UpdateMarch 13, 2008
NPI 1639367337 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 · 6704805-1206
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.

210 W 300 N, Roosevelt, UT 84066

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

Brett C Larsen Pa 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 ID8628156106
PECOS Enrollment IDI20240930003628
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
50 services44 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
21 services15 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
21 services13 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Merit Health Natchez

Acute Care Hospitals · Natchez, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250084
Location52 Sergeant Prentiss DriveNatchez, MS 39120 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84066 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.

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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
210 W 300 N
ROOSEVELT, UT 84066
Obstetrics & Gynecology
210 W 300 N
ROOSEVELT, UT 84066
Nurse Practitioner (Family)
210 W 300 N, #75-3
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066
Family Medicine
210 W 300 N
ROOSEVELT, UT 84066
Podiatrist (Foot & Ankle Surgery)
210 W 300 N
ROOSEVELT, UT 84066
Internal Medicine
210 W 300 N, 75-3
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639367337, enumerated as an "individual" on October 09, 2007.

The provider is located at 210 W 300 N 75-3 ROOSEVELT, UT 84066 and the phone number is (435) 722-3971.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.

Brett Larsen is affiliated with: MERIT HEALTH NATCHEZ.