Individual provider Active NPI

Gary L Larson, M.D.

  • Radiation Oncology Physician
  • Oklahoma City, OK
National Provider Identifier
1578599304
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
13856 Issued in OK
Practice address
5911 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone
(405) 773-6530
NPI assigned
Jun 23, 2006
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 13856 OK Primary

Addresses

Primary practice location

5911 W Memorial Rd
Oklahoma City, OK 73142-2015

Mailing address

PO Box 248856
Oklahoma City, OK 73124-8856
Phone (405) 607-4520

Other practice location 1

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7342

Other identifiers 2

IdentifierTypeStateIssuer
300042703OtherRAILROAD MEDICARE
100088460AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050825000854 OK Practitioner - Radiation Oncology 0446281885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Oklahoma College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Medicine Associates, P.C.Group PAC ID 6507756137, 6 clinicians

Practice addresses (Care Compare)

5911 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
58.26
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Proton Center LLC CurrentSince Nov 1, 2020 Accepting new patients
Radiation Medicine Associates, P.C. Radiation Oncology CurrentSince Mar 3, 2009 Accepting new patients
Oklahoma Sleep Institute LLC Past Accepting new patients

Locations

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

13900 N Portland Ave
Ste 165
Oklahoma City, OK 73134

2525 NW Expressway
Ste 404
Oklahoma City, OK 73112
Phone (405) 286-3260

3300 NW 56th St
Fl LL100
Oklahoma City, OK 73112
Phone (405) 488-0700

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3505 NW 56th St
Oklahoma City, OK 73112
Phone (405) 773-6700

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700

5911 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6400

6006 NW 120th Ct
Oklahoma City, OK 73162
Phone (405) 773-0442

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4

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 9

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1578599304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248856",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248856",
            "telephone_number": "405-607-4520",
            "fax_number": "405-607-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422015",
            "telephone_number": "405-773-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093413",
            "country_code": "US",
            "telephone_number": "405-636-7342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "13856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300042703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.