Individual provider Active NPI

Troy Robert Larson, M.D.

  • Urology Physician
  • Columbia, TN
National Provider Identifier
1023542610
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0000065189 Issued in TN
Practice address
1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410
Phone
(931) 840-8547
NPI assigned
Apr 20, 2017
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Urology Physician 208800000X 0000065189 TN Primary

Addresses

Primary practice location

1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410

Mailing address

1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410
Phone (931) 840-8547

Other practice location 1

University Of Florida Dept Of Urology
1600 SW Archer Rd / Campus Box 100247
Gainesville, FL 32610-0001
Phone (651) 341-2926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808001277 TN Practitioner - Urology 4082987581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Vermont College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1222 Trotwood Ave
Suite 601
Columbia, TN 38401-6410
Phone (931) 548-0053

1224 N Trotwood Ave
Columbia, TN 38401-4802

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

854 W James Campbell
Suite 303
Columbia, TN 38401-4672

854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.45 of 100Reported as group
Quality
42.88
Promoting interoperability
77
Improvement activities
40
Cost
74.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000065189TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Medical Group, Inc CurrentSince Jul 28, 2022 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Jul 28, 2022 Accepting new patients
Family Health Group Inc Past Accepting new patients

Locations

1222 Trotwood Ave
Ste 601
Columbia, TN 38401
Phone (931) 381-2062

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1023542610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 601",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016410",
            "telephone_number": "931-840-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 601",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016410",
            "telephone_number": "931-840-8547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Florida Dept Of Urology",
            "address_2": "1600 SW Archer Rd / Campus Box 100247",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326100001",
            "country_code": "US",
            "telephone_number": "651-341-2926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TROY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "0000065189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.