Active NPI
Jeffrey D. Larson, M.D.
- Plastic and Reconstructive Surgery Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 50808-20
- Practice address
- 700 S Park St
Madison, WI 53715-1830 - Phone
- (608) 251-6100
- Fax
- (608) 260-2976
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 50808-20 | WI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 50808-20 | WI | Primary |
Addresses
Primary practice location
700 S Park St
Madison, WI 53715-1830
Mailing address
202 S Park St
Madison, WI 53715-1507
Other practice location 1
6408 Copps Ave
Monona, WI 53716
Phone (608) 417-6175
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlarson261279@diect-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Plastic and Reconstructive Surgery
- Education
- Medical College of Wisconsin, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4602 Eastpark Blvd
Madison, WI 53718-2002
Phone (608) 440-6400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 18 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50808-20 | WI | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stoughton Hospital Association | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
4602 Eastpark Blvd
Madison, WI 53718
Phone (608) 263-7540
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
20 S Park St
Madison, WI 53715
Phone (608) 287-2090
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
20 S Park St
Ste 360
Madison, WI 53715
Phone (608) 257-2208
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
6408 Copps Ave
Monona, WI 53716
Phone (608) 417-3000
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- jlarson263385@direct.unitypoint.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
-
- Medicare Defined Swing Bed Hospital Unit
- Stoughton, WI
- NPI 1891869079
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Durable Medical Equipment & Medical Supplies
- Cross Plains, WI
- NPI 1174583363
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UnityPoint Health - Meriter Therapies
- Rehabilitation Clinic/Center
- Madison, WI
- NPI 1073672556
Hospital
-
dba UnityPoint Health - Meriter
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
dba University of Wisconsin Hospital and Clinics
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1144266479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151830",
"telephone_number": "608-251-6100",
"fax_number": "608-260-2976"
}
],
"practiceLocations": [
{
"address_1": "6408 Copps Ave",
"address_purpose": "LOCATION",
"city": "Monona",
"state": "WI",
"postal_code": "53716",
"country_code": "US",
"telephone_number": "608-417-6175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "JEFFREY",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WI",
"license": "50808-20",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WI",
"license": "50808-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlarson261279@diect-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jlarson261279@diect-ehr-ssmhc.com",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.