Active NPI 1518960087 Individual Practitioner Male Practitioner

Dr. Michael J Larson , MD

Orthopaedic Surgery • Rexburg, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Larson, MD is a certified Orthopaedic Surgery practicing in Rexburg, ID. With approximately 46 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1980, Dr. Larson delivers high-quality medical care to the local community at 360 EAST MAIN.

Dr. Larson is affiliated with Madison Co Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, injection, methylprednisolone acetate, 80 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

360 East Main

Rexburg, ID 83440

Telephone 2083569550

Fax 2083568023

Associated Practice Facility / Clinic

🏢 Upper Valley Orthopedics, Pllc Facility NPI 1184799298

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Rexburg, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +21.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Rexburg, ID (168 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Larson (46 Years) 46 Yrs

Rexburg Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$187.74	$83.36
20610 Aspiration and/or injection of fluid from large joint	15	14	$219.60	$64.23
J1040 Injection, methylprednisolone acetate, 80 mg	15	12	$32.00	$9.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$115.00	$51.47
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$149.00	$65.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	54	$115.00	$51.72
99213 Established patient office or other outpatient visit, typically 15 minutes	75	64	$186.00	$83.07
20610 Aspiration and/or injection of fluid from large joint	47	33	$207.13	$61.98
J1040 Injection, methylprednisolone acetate, 80 mg	43	25	$30.00	$11.59
73502 X-ray of hip, 2-3 views	41	27	$135.00	$42.57
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$149.00	$66.35
73030 X-ray of shoulder, minimum of 2 views	33	23	$98.00	$31.34
73564 X-ray of knee, 4 or more views	24	22	$133.00	$42.27
J1030 Injection, methylprednisolone acetate, 40 mg	19	15	$20.00	$7.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$229.00	$102.76
73562 X-ray of knee, 3 views	13	11	$117.00	$36.71
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$195.00	$76.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	86	$186.00	$84.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	62	$115.00	$52.04
20610 Aspiration and/or injection of fluid from large joint	60	44	$206.50	$61.79
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$149.00	$66.53
J1040 Injection, methylprednisolone acetate, 80 mg	50	31	$30.00	$11.02
73030 X-ray of shoulder, minimum of 2 views	41	33	$98.00	$31.60
73564 X-ray of knee, 4 or more views	36	30	$133.00	$42.35
73502 X-ray of hip, 2-3 views	35	22	$135.00	$42.95
J1030 Injection, methylprednisolone acetate, 40 mg	29	22	$20.00	$6.40
73562 X-ray of knee, 3 views	24	17	$117.00	$37.42
73110 X-ray of wrist, minimum of 3 views	20	16	$117.00	$37.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$229.00	$103.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	93	$165.00	$84.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	55	$84.00	$52.50
20610 Aspiration and/or injection of fluid from large joint	56	40	$206.25	$63.83
J1040 Injection, methylprednisolone acetate, 80 mg	46	30	$30.00	$10.68
73562 X-ray of knee, 3 views	31	25	$95.00	$36.84
J1030 Injection, methylprednisolone acetate, 40 mg	31	20	$20.00	$5.68
73030 X-ray of shoulder, minimum of 2 views	29	23	$79.00	$31.30
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$142.00	$67.85
73502 X-ray of hip, 2-3 views	19	14	$100.00	$42.58
73110 X-ray of wrist, minimum of 3 views	17	11	$96.00	$36.85
73610 X-ray of ankle, minimum of 3 views	16	11	$85.00	$33.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$207.00	$104.85
J1020 Injection, methylprednisolone acetate, 20 mg	13	11	$15.00	$3.07
73564 X-ray of knee, 4 or more views	11	11	$110.00	$41.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	99	$165.00	$70.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	63	$84.00	$42.59
20610 Aspiration and/or injection of fluid from large joint	94	58	$188.28	$61.46
J1040 Injection, methylprednisolone acetate, 80 mg	71	35	$30.00	$11.58
J1030 Injection, methylprednisolone acetate, 40 mg	53	36	$20.00	$6.04
73030 X-ray of shoulder, minimum of 2 views	41	31	$79.00	$30.51
73562 X-ray of knee, 3 views	31	24	$95.00	$36.02
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$142.00	$69.70
73502 X-ray of hip, 2-3 views	25	21	$100.00	$41.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$207.00	$101.52
73560 X-ray of knee, 1-2 views	14	12	$78.00	$30.61
73565 X-ray of both knees while standing	11	11	$90.00	$35.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	113	$165.00	$69.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	71	$84.00	$41.97
20610 Aspiration and/or injection of fluid from large joint	109	66	$191.17	$57.26
J1040 Injection, methylprednisolone acetate, 80 mg	89	51	$30.00	$12.21
73030 X-ray of shoulder, minimum of 2 views	48	33	$79.00	$27.47
J1030 Injection, methylprednisolone acetate, 40 mg	45	32	$20.00	$6.30
73502 X-ray of hip, 2-3 views	38	27	$100.00	$39.67
73565 X-ray of both knees while standing	35	34	$90.00	$34.30
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$142.00	$71.81
73560 X-ray of knee, 1-2 views	30	30	$78.00	$29.75
73562 X-ray of knee, 3 views	26	21	$95.00	$34.36
J1020 Injection, methylprednisolone acetate, 20 mg	20	15	$15.00	$3.79
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$195.00	$96.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$207.00	$101.86
27447 Replacement of knee joint, both sides of knee	14	12	$4707.50	$1204.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	160	$165.22	$67.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	89	$84.00	$40.77
20610 Aspiration and/or injection of fluid from large joint	152	80	$201.55	$57.88
J1040 Injection, methylprednisolone acetate, 80 mg	127	54	$28.78	$12.91
J1030 Injection, methylprednisolone acetate, 40 mg	61	47	$18.69	$6.58
73030 X-ray of shoulder, minimum of 2 views	59	50	$79.00	$26.31
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$142.00	$69.05
73562 X-ray of knee, 3 views	39	31	$95.00	$31.88
73560 X-ray of knee, 1-2 views	39	36	$78.00	$27.75
73502 X-ray of hip, 2-3 views	38	33	$100.00	$37.17
73565 X-ray of both knees while standing	33	32	$90.00	$31.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$207.00	$100.73
J1020 Injection, methylprednisolone acetate, 20 mg	27	16	$13.15	$4.77
20605 Aspiration and/or injection of medium joint or joint capsule	19	17	$138.68	$41.40
73100 X-ray of wrist, 2 views	17	12	$80.00	$27.68
99221 Initial hospital inpatient care per day, typically 30 minutes	14	12	$195.00	$95.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	135	$165.00	$65.72
20610 Aspiration and/or injection of fluid from large joint	153	90	$168.76	$49.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	82	$84.00	$38.73
J1040 Injection, methylprednisolone acetate, 80 mg	112	64	$25.00	$10.74
73560 X-ray of knee, 1-2 views	65	51	$78.00	$27.03
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$142.00	$67.18
73565 X-ray of both knees while standing	57	54	$90.00	$31.40
J1030 Injection, methylprednisolone acetate, 40 mg	54	36	$15.00	$5.16
73030 X-ray of shoulder, minimum of 2 views	43	32	$79.00	$25.56
73502 X-ray of hip, 2-3 views	35	26	$100.00	$36.41
73610 X-ray of ankle, minimum of 3 views	27	13	$85.00	$27.72
73562 X-ray of knee, 3 views	24	20	$95.00	$31.30
99221 Initial hospital inpatient care per day, typically 30 minutes	18	16	$195.00	$92.15
27447 Replacement of knee joint, both sides of knee	18	17	$5008.00	$1215.97
20605 Aspiration and/or injection of medium joint or joint capsule	16	11	$119.13	$34.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$207.00	$96.38
64721 Release and/or relocation of hand nerve	12	12	$1912.13	$395.81

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License ID M5158

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License ID M-5158

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003807100 (ID)

Hospital & Practice Group Affiliations

Madison Co Memorial Hospital

360 E Main St, Rexburg, ID 834402015

Phone: 2083569550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Travis Torngren , MD

Orthopaedic Surgery

NPI 1508086844

Doctor of Medicine (M.D.)

Zackery Cleverley , PA-C

Orthopaedic Surgery

NPI 1518476092

Physician Assistant (Certified)

Dr. Kevin Lee , MD

Orthopaedic Surgery

NPI 1518960079

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 14, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 14, 2009

Registered at 360 EAST MAIN, REXBURG, ID 83440 (Tel: 2083569550)

📍

Updated Business Mailing Address December 14, 2009

Registered at 360 EAST MAIN, REXBURG, ID 83440 (Tel: 2083569550)

👤

Provider Name / Credentials Updated December 14, 2009

Recorded as MICHAEL LARSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2009

Orthopaedic Surgery (License #M5158 in ID)

🟢

Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518960087

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 27, 2005

Last Update: December 14, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

360 East Main

Rexburg, ID 83440

Phone: 2083569550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.