DR. JONATHAN LARSON M.D.
NPI 1639516503
Radiology - Diagnostic Radiology in New York, NY

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1 GUSTAVE L LEVY PL DEPT OF, NEW YORK, NY 10029(860) 214-4650 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Apr 25, 2019 (2 updates tracked since 2019).

About Dr. Jonathan Larson M.d. NPPES

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

DR. JONATHAN LARSON M.D. (NPI 1639516503) is an individual diagnostic radiology provider in New York, New York, licensed in New York (295418-1) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639516503
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JONATHAN LARSONCredential: M.D.
Location Address1 GUSTAVE L LEVY PL DEPT OFNew York, NY 10029
Mailing Address1 Gustave L Levy Pl Dept OfNew York, NY 10029-6504 · (860) 214-4650
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1639516503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NY · 295418-1 Licensed in CO · DR.0076722
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1 GUSTAVE L LEVY PL DEPT OF, New York, NY 10029

Secondary Practice Locations 2

Location 11501 E 3rd StDelta, CO 81416-2815 · Phone (970) 874-7681
Location 21000 10th AveNew York, NY 10019-1147 · Phone (860) 214-4650

Other Identifiers 1

Medicaid9000257480CO

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

Dr. Jonathan Larson M.d. 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 ID6608165527
PECOS Enrollment IDI20190806000846, I20251118002533, I20251207000173, I20260210004526, I20260415001328, I20260515003954
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 39

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
509 services382 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
283 services259 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
147 services140 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
81 services77 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
60 services59 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
59 services58 patients

Hospital Affiliations CMS Care Compare 4

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Lower Umpqua Hospital District

Critical Access Hospitals · Reedsport, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381311
Location600 Ranch RoadReedsport, OR 97467 · Douglas County
Emergency services

Kane County Hospital

Critical Access Hospitals · Kanab, UT
OwnershipGovernment - Hospital District or Authority
CMS Certification Number461309
Location355 North Main StreetKanab, UT 84741 · Kane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL DEPT OF
NEW YORK, NY 10029

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 Jonathan Larson's NPI number?

The NPI number for Jonathan Larson is 1639516503. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Jonathan Larson located?

Jonathan Larson practices at 1 Gustave L Levy Pl Dept Of, New York, NY 10029. The listed phone number is (860) 214-4650.

What is Jonathan Larson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jonathan Larson enrolled in Medicare?

Yes. Jonathan 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.

Is Jonathan Larson affiliated with any hospitals?

According to CMS data, Jonathan Larson is affiliated with Mount Sinai Hospital, Bay Area Hospital, Lower Umpqua Hospital District and Kane County Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Larson was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.