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Deactivated NPI 1487759619 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Mark Larson , OD

Optometrist • Sauk Centre, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Larson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 13, 2006
NPI Deactivation Date June 14, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Larson, OD was a registered Optometrist practicing in Sauk Centre, MN. Throughout an active medical career spanning 15 years, Dr. Larson provided care at the practice location at 314 MAIN ST S until profile deactivation on 2021-06-14.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, imaging of retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

314 Main St S

Sauk Centre, MN 563781349

Telephone 3203522774
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sauk Centre, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Sauk Centre, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
119 119 $149.17 $127.29
92250 Photography of the retina
38 38 $80.84 $45.47
92134 Imaging of retina
27 27 $70.85 $41.10
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $111.14 $74.02

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1709

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 14, 2021

Record deactivated on June 14, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 314 MAIN ST S, SAUK CENTRE, MN 563781349 (Tel: 3203522774)

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Updated Business Mailing Address July 08, 2007

Registered at 314 MAIN ST S, SAUK CENTRE, MN 563781349 (Tel: 3203522774)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN LARSON, OD

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

Optometrist (License #1709 in MN)

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Initial NPI Registration & Enumeration September 13, 2006

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: 1487759619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2006
Last Update: July 08, 2007
Deactivation Date: June 14, 2021

Mailing Address

314 Main St S

Sauk Centre, MN 563781349

Phone: 3203522774

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.