Active NPI
Larry Todd Olsen, DO
- Orthopaedic Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1942281027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4132
- Practice address
- 3400 S Douglas Blvd
302
Oklahoma City, OK 73150 - Phone
- (405) 733-8000
- Fax
- (405) 733-7820
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4132 | OK | Primary |
Addresses
Primary practice location
3400 S Douglas Blvd
302
Oklahoma City, OK 73150
Mailing address
3400 S Douglas Blvd
302
Oklahoma City, OK 73150
Phone (405) 733-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200035880A | Medicaid | OK |
Other names 1
- Larry Todd Olsen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 20, 2025 through Oct 20, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Oklahoma State University College of Osteopathic Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1140 S Douglas Blvd
Midwest City, OK 73130-5236
Merit-based Incentive Payment System (MIPS)
- Final score
- 35.32 of 100
- Quality
- 13.31
- Improvement activities
- 0
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4132 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Interoperability endpoints
- larry.olsen@925.chartlogic.direct-ci.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1942281027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 S DOUGLAS BLVD",
"address_2": "302",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73150",
"telephone_number": "405-733-8000",
"fax_number": "405-733-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 S DOUGLAS BLVD",
"address_2": "302",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73150",
"telephone_number": "405-733-8000",
"fax_number": "405-733-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "LARRY",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "4132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200035880A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LARRY",
"last_name": "OLSEN",
"middle_name": "TODD",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.