Active NPI 1265470371 Individual Practitioner Male Practitioner

Bruce D Larson , PA-C

Physician Assistant • Lisbon, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bruce Larson, PA-C is a certified Physician Assistant practicing in Lisbon, ND. With approximately 26 years of clinical experience since completing medical education in 2000, Bruce Larson delivers high-quality medical care to the local community at 819 MAIN ST.

Bruce Larson is affiliated with Innovis Health Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

819 Main St

Lisbon, ND 580544244

Telephone 7016834134

Fax 7016834094

Associated Practice Facility / Clinic

🏢 Dakota Clinic, Ltd. Facility NPI 1093766974

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 Lisbon, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +7.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Lisbon, ND (469 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Larson (26 Years) 26 Yrs

Lisbon Specialty Average (18.3 Years) 18.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	73	66	$230.95	$70.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$344.43	$105.42
36415 Insertion of needle into vein for collection of blood sample	19	18	$19.00	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	53	$179.82	$62.91
36415 Insertion of needle into vein for collection of blood sample	25	25	$19.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$285.00	$97.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	81	$305.53	$105.09
36415 Insertion of needle into vein for collection of blood sample	118	73	$19.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	95	77	$196.86	$71.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$286.76	$109.91
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	12	12	$43.00	$33.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	103	$292.94	$109.16
36415 Insertion of needle into vein for collection of blood sample	197	96	$19.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	158	90	$197.75	$76.61
85610 Blood test, clotting time	110	12	$63.00	$4.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	18	$62.00	$11.99
G0008 Administration of influenza virus vaccine	27	27	$47.00	$14.46
0004A Fee covid-19 vac 1 res	26	26	$43.00	$34.46
90662 Influenza vaccine split virus, preservative free	26	26	$69.00	$65.10
81003 Automated urinalysis test	23	17	$27.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	118	$274.41	$90.38
36415 Insertion of needle into vein for collection of blood sample	192	105	$19.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	117	62	$187.77	$61.81
85610 Blood test, clotting time	101	14	$63.00	$4.27
G0008 Administration of influenza virus vaccine	28	28	$46.79	$16.76
90662 Influenza vaccine split virus, preservative free	28	28	$69.00	$60.76
81003 Automated urinalysis test	18	12	$27.00	$2.24
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$277.31	$90.17
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$188.38	$63.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	132	$258.28	$88.99
36415 Insertion of needle into vein for collection of blood sample	205	109	$19.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	119	75	$175.45	$60.12
85610 Blood test, clotting time	94	18	$63.00	$4.24
90662 Influenza vaccine split virus, preservative free	26	25	$68.31	$54.19
G0008 Administration of influenza virus vaccine	25	24	$41.96	$16.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	12	$62.00	$14.06
81003 Automated urinalysis test	16	15	$27.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	124	$247.70	$88.73
36415 Insertion of needle into vein for collection of blood sample	220	105	$19.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	210	106	$167.33	$60.35
85610 Blood test, clotting time	134	19	$63.00	$4.73
90662 Influenza vaccine split virus, preservative free	46	43	$60.00	$51.75
G0008 Administration of influenza virus vaccine	46	43	$53.00	$20.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	15	$62.00	$17.37
81003 Automated urinalysis test	23	19	$27.00	$2.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	345	125	$161.56	$59.36
36415 Insertion of needle into vein for collection of blood sample	279	118	$18.49	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	121	$238.66	$88.07
85610 Blood test, clotting time	154	22	$63.00	$5.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	21	$62.00	$21.53
G0008 Administration of influenza virus vaccine	47	43	$53.00	$25.17
90662 Influenza vaccine split virus, preservative free	43	40	$59.16	$47.62
81003 Automated urinalysis test	14	13	$26.29	$3.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$255.00	$96.71

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ND PAC0257

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

798727700 (ND)

Commercial Insurance / Payer ID America's Ppo/araz #

1797235 (ND)

Commercial Insurance / Payer ID Preferred One #

DA9061031057 (ND)

Commercial Insurance / Payer ID Medica #

0113759 (ND)

Commercial Insurance / Payer ID Medica #

0113760 (ND)

Commercial Insurance / Payer ID Ndbs #

23227 (ND)

Commercial Insurance / Payer ID Mnbs #

514S4LS (ND)

Commercial Insurance / Payer ID Healthpartners #

HP38590 (ND)

Commercial Insurance / Payer ID Mnbs #

514S3LA (ND)

Commercial Insurance / Payer ID Mnbs #

515S5LA (ND)

Hospital & Practice Group Affiliations

Innovis Health Llc

2430 20th St Sw, Jamestown, ND 584016201

Phone: 7012535300

Innovis Health Llc

3000 32nd Ave S, Fargo, ND 581036132

Phone: 7013648000

Innovis Health Llc

3902 13th Ave S, Fargo, ND 581037512

Phone: 7013646600

Innovis Health Llc

819 Main St, Lisbon, ND 580544244

Phone: 7016834134

Innovis Health Llc

4110 51st Ave S, Fargo, ND 581047776

Phone: 7013643100

Innovis Health Llc

132 4th Ave Ne, Valley City, ND 580723056

Phone: 7018458060

Practice Associates & Co-Workers

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

3 Associated Practitioners

Katie Tanner , PA

Physician Assistant

NPI 1225013634

Physician Assistant

Carly Schultz , PA-C

Physician Assistant

NPI 1528870375

Physician Assistant (Certified)

Elisha Anderson , NP-C

Nurse Practitioner

NPI 1851698344

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2016

Registered at 819 MAIN ST, LISBON, ND 580544244 (Tel: 7016834134)

📍

Updated Business Mailing Address February 19, 2016

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 7016834134)

👤

Provider Name / Credentials Updated February 19, 2016

Recorded as BRUCE LARSON, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2016

Physician Assistant (License #PAC0257 in ND)

🟢

Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Bruce Larson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265470371

Entity Type:

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

Enumeration Date: June 02, 2006

Last Update: February 19, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6001

Fargo, ND 581086001

Phone: 7016834134

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.