Active NPI
Lance A Larsen, MD,FACC
- Cardiovascular Disease Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 59741
- Practice address
- 75 Herrick St
Suite 206
Beverly, MA 01915-5900 - Phone
- (978) 927-8400
- Fax
- (978) 922-1452
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 59741 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 59741 | MA | Primary |
Addresses
Primary practice location
75 Herrick St
Suite 206
Beverly, MA 01915-5900
Mailing address
75 Herrick St
Suite 206
Beverly, MA 01915-5900
Phone (978) 927-8400
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060058690 | Other | MA | RAILROAD MEDICARE |
| 4231092 | Other | MA | AETNA |
| 2500717 | Other | MA | UNITED HEALTHCARE |
| J07711 | Other | MA | BLUE CROSS BLUE SHIELD |
| 3053024 | Medicaid | MA | |
| 042804155 | Other | MA | CIGNA |
| 60917 | Other | MA | HARVARD PILGRIM |
| 97126301 | Other | MA | NETWORK HEALTH PLAN |
| 0016080 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 059741 | Other | MA | TUFTS HEALTH PLAN |
| 32041 | Other | MA | FALLON COMMUNITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Tulane University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Outpatient Services IncLahey Clinic Inc
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8085
Hospital & facility affiliations
- Northeast Hospital Corporation
- Lahey Hospital & Medical Center, Burlington
- North Shore Medical Center -
- Massachusetts General Hospital
- Anna Jaques Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59741 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients |
Locations
77 Herrick St
Beverly, MA 01915
Phone (978) 927-3040
77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115
75 Herrick St
Ste 206
Beverly, MA 01915
Phone (978) 927-8400
100 Cummings Ctr
Ste 408J
Beverly, MA 01915
Phone (978) 524-9950
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
298 Washington St
Gloucester, MA 01930
Phone (978) 283-4000
Interoperability endpoints
- llarsen23224@direct.bilh.masshiway.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1144240789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 HERRICK ST",
"address_2": "SUITE 206",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155900",
"telephone_number": "978-927-8400",
"fax_number": "978-922-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 HERRICK ST",
"address_2": "SUITE 206",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155900",
"telephone_number": "978-927-8400",
"fax_number": "978-922-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "LANCE",
"middle_name": "A",
"credential": "MD,FACC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "59741",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "59741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060058690",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4231092",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2500717",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J07711",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3053024",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "042804155",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "60917",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH PLAN",
"identifier": "97126301",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0016080",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "059741",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "32041",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.