Individual provider Active NPI

Larry Todd Olsen, DO

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1942281027
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4132 Issued in OK
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

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200035880AMedicaidOK

Other names 1

  • Larry Todd Olsen Professional name

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 100Reported as individual
Quality
13.31
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
4132OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.