BEAU LARSON
NPI 1932087665
Physician Assistant in Missoula, MT

Q: What is Beau Larson's NPI number?

The NPI number for Beau Larson is 1932087665. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Q: What is Beau Larson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Beau Larson was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 21, 2025PECOS EnrolledAccepts Medicare Assignment

500 W BROADWAY ST STE 320, MISSOULA, MT 59802(406) 329-5615 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Beau Larson NPPES

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

BEAU LARSON (NPI 1932087665) is an individual physician assistant in Missoula, Montana, licensed in Montana (MED-PAC-LIC-164422) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932087665

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBEAU LARSON

Location Address500 W BROADWAY ST STE 320Missoula, MT 59802-4003

Mailing AddressPo Box 31001Pasadena, CA 91110-4110 · (406) 329-5615

Phone(406) 329-5615

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 21, 2025

Last NPPES UpdateDecember 9, 2025

NPPES CertifiedDecember 9, 2025

✔ NPI 1932087665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MT · MED-PAC-LIC-164422

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

500 W BROADWAY ST STE 320, Missoula, MT 59802

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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 and accepts Medicare assignment

Beau Larson 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 ID9335635994

PECOS Enrollment IDI20260102001887

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.

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59802 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

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.

Other Providers at the Same Location NPPES 20

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

MR. GEORGE BANDOW MD

Internal Medicine (Cardiovascular Disease)