Gregory R. Larson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3698 Issued in SD

Practice address

511 14TH Ave NE
Watertown, SD 57201-6811

Phone

(605) 886-8482

Fax

(605) 884-4300

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Family Practice

Education

Sanford School of Medicine of University of South Dakota, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brown Clinic PLLPGroup PAC ID 7012814239, 7 clinicians

Prairie Lakes Health Care System IncGroup PAC ID 8628987823, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prairie Lakes Home Health Home health agency, Watertown, SD, CCN 437019
• Prairie Lakes Hospice Hospice, Watertown, SD, CCN 431504
• Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
• Jenkin'S Living Center Nursing home, Watertown, SD, CCN 435036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Brown Clinic PLLP

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1083779821
  Medicare reassignment Care Compare group NPD
• Prairie Lakes Health Care System Inc

  • Rural Acute Care Hospital
  • Watertown, SD
  • NPI 1720166002
  Medicare reassignment Care Compare group NPD
• Prairie Lakes Health Care System Inc

  • Family Medicine Physician
  • Castlewood, SD
  • NPI 1578369070
  NPD
• Johnson Memorial Health Services

  • Critical Access Hospital
  • Dawson, MN
  • NPI 1093745051
  NPD
• Regional Diagnostic Radiology

  • Diagnostic Radiology Physician
  • Sartell, MN
  • NPI 1417935321
  NPD
• Prairie Lakes Health Care System Inc

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1396525143
  NPD (past)
• Prairie Lakes Health Care System Inc

  • Rural Acute Care Hospital
  • Watertown, SD
  • NPI 1659316214
  NPD (past)

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

• Jenkins Living Center, Inc.

  • Skilled Nursing Facility
  • Watertown, SD
  • NPI 1255333803

  Nursing home

  Care Compare affiliation
• Prairie Lakes Health Care System Inc

  • Home Health Agency
  • Watertown, SD
  • NPI 1205851458
  Care Compare affiliation
• Prairie Lakes Health Care System Inc

  • Community Based Hospice Care Agency
  • Watertown, SD
  • NPI 1467480640
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1629036645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014402",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016811",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "GREGORY",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "3698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5609624",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Eugene Lambrechts, DPT
• Janette Theresa Laplante, MS CCDC MAC
• Alyssa Larson
• Angela Renae Larson, BS
• Diantha Jean Larson, CCDC T
• Joyce L Larson, PA-C
• Karyl Lee Larson, R. PH.
• Shane Michael Larson, M.S., LPC-MH
• Chad Laverne Lauseng, P.T.
• Alan A. Lawrence, MD

• Family Medicine Physician in Watertown, SD
• Providers in Watertown, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.

Verify at the official NPI Registry.