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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark D. Larson, M.D., P.A.
0.2 mi
Ambulatory Surgical
950 N 11TH ST
Beaumont, TX 77702
  • Reassigned Medicare billing, Texas enrollment
NPI 1245489103 (409) 833-0193

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Mark Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Larson reassigns Medicare benefits to Mark D. Larson, M.D., P.A. (Beaumont, TX). The 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 Mark Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.