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GABRIEL LARSON MD
NPI 1801162789
Pediatrics in Portland, OR

Active since March 26, 2012PECOS Enrolled
700 S.W. CAMPUS DRIVE, 7TH FLOOR, PORTLAND, OR 97239(503) 418-5700(503) 418-5704 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Jan 16, 2018, Jan 12, 2018 (3 updates tracked since 2018).

About Gabriel Larson Md NPPES

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

GABRIEL LARSON MD (NPI 1801162789) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD186278) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1801162789
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGABRIEL LARSONCredential: MD
Location Address700 S.W. CAMPUS DRIVE, 7TH FLOORPortland, OR 97239
Mailing Address700 S.w. Campus Drive, 7th FloorPortland, OR 97239
Phone(503) 418-5700
Fax(503) 418-5704
Sole ProprietorNo
Enumeration DateMarch 26, 2012
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1801162789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OR · MD186278✔ Licensed in CA · A120054
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
700 S.W. CAMPUS DRIVE, 7TH FLOOR, Portland, OR 97239
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Secondary Practice Location 1

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (323) 669-2113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignments

2

Medicare enrollment records show Gabriel Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
1.6 mi
Sports Medicine
909 SW 18TH AVE
Portland, OR 97205
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1235479643 (503) 962-1946
Legacy Clinics LLC
2.4 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
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 Gabriel Larson's NPI number?

The NPI number for Gabriel Larson is 1801162789. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is Gabriel Larson located?

Gabriel Larson practices at 700 S.W. Campus Drive, 7th Floor, Portland, OR 97239. The listed phone number is (503) 418-5700.

What is Gabriel Larson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gabriel Larson enrolled in Medicare?

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

Which organizations bill Medicare for Gabriel Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriel Larson reassigns Medicare benefits to 2 organizations: Providence Health & Services - Oregon (Portland, OR) and Legacy Clinics LLC (Portland, OR). Each 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 Gabriel Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gabriel Larson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.