MARK DUANE LARSON MD
NPI 1770644767
Plastic Surgery in Beaumont, TX

Q: What is Mark Larson's NPI number?

The NPI number for Mark Larson is 1770644767. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Mark Larson's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Larson was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 13, 2006PECOS Enrolled

755 N 11TH ST STE P1000, BEAUMONT, TX 77702(409) 833-0193(409) 833-3346 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2020, Feb 17, 2020 (2 updates tracked since 2020).

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About Mark Duane Larson Md NPPES

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

MARK DUANE LARSON MD (NPI 1770644767) is an individual plastic surgery provider in Beaumont, Texas, licensed in Texas (H8192) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of University Of Texas Medical Branch At Galveston (1997).

NPPES Registry Identity

NPI1770644767

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameMARK DUANE LARSONCredential: MD

Location Address755 N 11TH ST STE P1000Beaumont, TX 77702-1528

Mailing Address755 N 11th St Ste P1000Beaumont, TX 77702-1528 · (409) 833-0193 · Fax (409) 833-3346

Phone(409) 833-0193

Fax(409) 833-3346

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1997

Enumeration DateDecember 13, 2006

Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration

NPPES CertifiedMarch 9, 2020

✔ NPI 1770644767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in TX · H8192

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

755 N 11TH ST STE P1000, Beaumont, TX 77702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Duane Larson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537264635

PECOS Enrollment IDI20090605000027

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.

Hospital Affiliations CMS Care Compare

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77702 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

$83.80 typical visit price

range $54.04 – $164.93

Typical copayment $20.95 (range $13.51 – $41.23)

Most-billed visit code 99203

Established Patient

$67.64 typical visit price

range $17.17 – $134.47

Typical copayment $16.91 (range $4.29 – $33.61)

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.

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 Mark Larson's NPI number?

The NPI number for Mark Larson is 1770644767. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Mark Larson located?

Mark Larson practices at 755 N 11th St Ste P1000, Beaumont, TX 77702. The listed phone number is (409) 833-0193.

What is Mark Larson's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Mark Larson enrolled in Medicare?

Yes. Mark Larson is registered in the Medicare PECOS enrollment system.

Is Mark Larson affiliated with any hospitals?

According to CMS data, Mark Larson is affiliated with Christus Southeast Texas- St Elizabeth.

When was this NPI record last updated?

The NPPES record for Mark Larson was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.