LARSON DAVICK PA-C
NPI 1982074365
Physician Assistant in Staples, MN
About Larson Davick Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARSON DAVICK PA-C (NPI 1982074365) is an individual physician assistant in Staples, Minnesota and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Lakewood Health System, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Larson Davick Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakewood Health System
Critical Access Hospitals · Staples, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56479 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
STAPLES, MN 56479
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 Larson Davick's NPI number?
The NPI number for Larson Davick is 1982074365. It was assigned to this individual provider in the NPPES registry on September 29, 2015.
Where is Larson Davick located?
Larson Davick practices at 49725 County 83, Staples, MN 56479. The listed phone number is (218) 894-1515.
What is Larson Davick's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Larson Davick enrolled in Medicare?
Yes. Larson Davick 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 Larson Davick accept?
Health plans from Medica list Larson Davick 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 Larson Davick affiliated with any hospitals?
According to CMS data, Larson Davick is affiliated with Lakewood Health System.
When was this NPI record last updated?
The NPPES record for Larson Davick was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Larson Davick, PA-C · NPI 1982074365
Physician Assistant physician in Staples, Minnesota. Individual provider, active in the CMS NPPES registry since September 29, 2015.
## Identity
- **NPI:** 1982074365 (Entity type: Individual)
- **Enumerated:** September 29, 2015
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 49725 COUNTY 83, Staples, MN 56479-5280
- **Phone:** (218) 894-1515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 29, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1982074365) · Data from the CMS NPPES public registry.