MARK DANIEL LARSON MD
NPI 1831651868
Ophthalmology - Glaucoma Specialist in Greenfield, WI

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment
85.24/100
CMS Quality Rating
4600 W LOOMIS RD STE 310, GREENFIELD, WI 53220(414) 281-0424(414) 281-0959 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Aug 5, 2024, Apr 10, 2023 (3 updates tracked since 2023).

About Mark Daniel Larson Md NPPES

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

MARK DANIEL LARSON MD (NPI 1831651868) is an individual glaucoma specialist in Greenfield, Wisconsin, licensed in Wisconsin (84144-20) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2019).

NPPES Registry Identity

NPI1831651868
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameMARK DANIEL LARSONCredential: MD
Location Address4600 W LOOMIS RD STE 310Greenfield, WI 53220-4858
Mailing Address4600 W Loomis Rd Ste 310Greenfield, WI 53220-4858 · (414) 281-0424 · Fax (414) 281-0959
Fax(414) 281-0959
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2019
Enumeration DateMarch 31, 2019
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1831651868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in WI · 84144-20
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License 73841 (MN)
4600 W LOOMIS RD STE 310, Greenfield, WI 53220

Accepted Insurance

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

Mark Daniel Larson Md 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 ID4082037999
PECOS Enrollment IDI20240822003876
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 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services54 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
39 services39 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
38 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services36 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
31 services30 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53220 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

85.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.91
Promoting Interoperability100
Improvement Activities40
Cost52.88

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220
Ophthalmology (Cornea and External Diseases Specialist)
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220
Ophthalmology
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220
Ophthalmology
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220
Ophthalmology (Glaucoma Specialist)
4600 W LOOMIS RD STE 310
GREENFIELD, WI 53220

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 1831651868. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Mark Larson located?

Mark Larson practices at 4600 W Loomis Rd Ste 310, Greenfield, WI 53220. The listed phone number is (414) 281-0424.

What is Mark Larson's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Mark Larson enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Larson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and Quartz list Mark Larson 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.

Is Mark Larson affiliated with any hospitals?

According to CMS data, Mark Larson is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Larson was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.