LARSON DERMATOLOGY, LLC
NPI 1679405195
Dermatology in Portland, OR
About Larson Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARSON DERMATOLOGY, LLC (NPI 1679405195) is a healthcare organization registered as a dermatology in Portland, Oregon and active in the NPI registry since June 2026. The organization lists Krista N Larson, Owner/dermatologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Larson Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Larson Dermatology, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Larson Dermatology, LLC's NPI number?
The NPI number for Larson Dermatology, LLC is 1679405195. It was assigned to this organization in the NPPES registry on June 1, 2026.
Where is Larson Dermatology, LLC located?
Larson Dermatology, LLC is located at 5441 S Macadam Ave Ste R, Portland, OR 97239. The listed phone number is (541) 919-2353.
What is Larson Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Larson Dermatology, LLC enrolled in Medicare?
Yes. Larson Dermatology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Larson Dermatology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Larson Dermatology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Larson Dermatology, LLC accept?
Health plans from Moda Health Plan, Inc. list Larson Dermatology, LLC 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 Larson Dermatology, LLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.