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Douglas C. Larsen, PA

NPI 1053386631ActiveIndividual· Physician Assistant· Omaha, NE

Physician Assistant (PA) in Omaha, Nebraska, trained at University of Nebraska College of Medicine (class of 1995). 136 Medicare patients in 2024, $10,447 paid; nearly all of their 86 Part D prescriptions were generic (99%).

Overview

NPI1053386631
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedFeb 17, 2006
Last updated in NPPESSep 9, 2024
Certified by providerSep 9, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X689NE

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IA); Practitioner - Physician Assistant (NE)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients136
Services billed362 across 28 procedure codes
Paid by Medicare$10,447

Part D prescriptions in 2024

Prescriptions (claims)86 · 86 30-day fills
Patients77
Total drug cost$513.94
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Nebraska College of Medicine
Graduation year1995
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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