Active NPI 1154315133 Individual Practitioner Female Practitioner

Katherine Mccourt Robinson Larson , PA-C

Physician Assistant • Crystal, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katherine Larson, PA-C is a certified Physician Assistant practicing in Crystal, MN. With approximately 26 years of clinical experience since completing medical education in 2000, Katherine Larson delivers high-quality medical care to the local community at 4725 36TH AVE N.

Katherine Larson is affiliated with Pinnacle Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4725 36th Ave N

Crystal, MN 554222169

Telephone 2182082058

Associated Practice Facility / Clinic

🏢 Pinnacle Dermatology, Sc Facility NPI 1063088235

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Crystal, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +11.7 yrs vs City Avg

City Avg: 14.3 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Crystal, MN (4026 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Larson (26 Years) 26 Yrs

Crystal Specialty Average (14.3 Years) 14.3 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
17003 Destruction of precancer skin growth, 2-14 growths	328	59	$20.31	$5.67
99213 Established patient office or other outpatient visit, typically 15 minutes	165	108	$268.10	$73.62
17000 Destruction of skin growth	114	81	$202.16	$40.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	83	$377.85	$105.72
17110 Destruction of up to 14 skin growths	89	66	$343.46	$94.92
11102 Tangential biopsy of single skin lesion	70	62	$301.06	$66.93
11103 Biopsy of related skin growth, each additional growth	25	15	$150.33	$41.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$167.13	$46.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$325.39	$84.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	319	62	$21.25	$5.76
99213 Established patient office or other outpatient visit, typically 15 minutes	185	124	$273.01	$74.97
17000 Destruction of skin growth	139	93	$206.80	$41.15
17110 Destruction of up to 14 skin growths	76	65	$354.45	$93.54
11102 Tangential biopsy of single skin lesion	74	58	$315.55	$70.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$385.88	$104.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	36	$169.84	$47.00
11103 Biopsy of related skin growth, each additional growth	23	17	$158.23	$41.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$339.08	$92.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	332	60	$21.99	$5.88
99213 Established patient office or other outpatient visit, typically 15 minutes	164	114	$278.00	$76.12
17000 Destruction of skin growth	116	79	$211.59	$42.11
17110 Destruction of up to 14 skin growths	83	62	$363.21	$95.30
11102 Tangential biopsy of single skin lesion	60	52	$325.65	$75.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	45	$171.00	$47.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	41	$394.00	$107.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$345.96	$93.21
11103 Biopsy of related skin growth, each additional growth	20	13	$173.37	$43.94
17111 Destruction of skin growth, 15 or more growths	12	11	$425.22	$113.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	254	52	$21.99	$5.70
99213 Established patient office or other outpatient visit, typically 15 minutes	159	110	$265.25	$77.16
17000 Destruction of skin growth	116	76	$211.59	$41.36
17110 Destruction of up to 14 skin growths	92	69	$363.21	$94.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	57	$161.78	$47.73
11102 Tangential biopsy of single skin lesion	77	66	$325.65	$73.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	47	$378.89	$109.49
11103 Biopsy of related skin growth, each additional growth	31	24	$173.37	$45.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$345.96	$94.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	332	51	$21.99	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	142	95	$206.35	$63.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	97	$277.36	$91.99
17000 Destruction of skin growth	105	71	$183.57	$39.36
17110 Destruction of up to 14 skin growths	98	71	$292.28	$93.86
11102 Tangential biopsy of single skin lesion	77	64	$267.86	$69.92
11103 Biopsy of related skin growth, each additional growth	41	27	$147.88	$45.66
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$229.64	$64.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	365	62	$21.99	$4.67
99213 Established patient office or other outpatient visit, typically 15 minutes	183	123	$176.41	$62.21
17000 Destruction of skin growth	129	86	$162.92	$39.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	79	$249.38	$91.06
17110 Destruction of up to 14 skin growths	86	65	$232.81	$93.09
11102 Tangential biopsy of single skin lesion	76	65	$201.83	$73.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	19	$6.57	$1.60
11103 Biopsy of related skin growth, each additional growth	35	22	$103.02	$44.98
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$190.49	$64.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$101.22	$37.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	280	55	$21.00	$4.36
99213 Established patient office or other outpatient visit, typically 15 minutes	165	101	$165.00	$61.17
17000 Destruction of skin growth	107	67	$154.00	$44.41
17110 Destruction of up to 14 skin growths	57	39	$215.00	$94.96
11100 Biopsy of single growth of skin and/or tissue	53	45	$172.00	$76.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	30	$110.00	$36.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	13	$11.00	$1.83
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$165.00	$62.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	16	$193.00	$88.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	218	40	$21.00	$4.66
99213 Established patient office or other outpatient visit, typically 15 minutes	138	92	$164.89	$61.09
17000 Destruction of skin growth	91	51	$154.00	$43.53
11100 Biopsy of single growth of skin and/or tissue	49	39	$172.00	$78.79
17110 Destruction of up to 14 skin growths	49	39	$215.00	$93.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	34	$110.00	$36.53
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$165.00	$62.57
11101 Biopsy of each additional growth of skin and/or tissue	23	14	$61.00	$26.95

Medical Specialties & State Licenses

CMS Verified: 2022-01-25

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9624

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

215598200 (MN)

Commercial Insurance / Payer ID Ucare

131240

Commercial Insurance / Payer ID Medica

0115028

Hospital & Practice Group Affiliations

Pinnacle Dermatology Sc

779 Bielenberg Dr, Woodbury, MN 551254432

Phone: 7632318700

Pinnacle Dermatology Sc

4725 36th Ave N, Crystal, MN 554222169

Phone: 7632318700

Practice Associates & Co-Workers

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

1 Associated Practitioners

Lisa Legvold , PA-C

Physician Assistant

NPI 1518357102

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 25, 2022

Registered at 4725 36TH AVE N, CRYSTAL, MN 554222169 (Tel: 2182082058)

📍

Updated Business Mailing Address January 25, 2022

Registered at 820 SPRINGER DR, LOMBARD, IL 601486413 (Tel: 8157448554)

📍

Updated Business Mailing Address June 05, 2020

Registered at 4725 36TH AVE N, MINNEAPOLIS, MN 554222169 (Tel: 9528087393)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 7373 FRANCE AVE S, SUITE 408, EDINA, MN 554354534 (Tel: 9528087393)

📍

Updated Business Mailing Address July 08, 2007

Registered at 7373 FRANCE AVE S, SUITE 408, EDINA, MN 554354534 (Tel: 9528087393)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KATHERINE LARSON, PA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #9624 in MN)

🟢

Initial NPI Registration & Enumeration September 07, 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: 1154315133

Entity Type:

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

Enumeration Date: September 07, 2005

Last Update: January 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

820 Springer Dr

Lombard, IL 601486413

Phone: 8157448554

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.