Brett C. Larsen, PA
NPI 1639367337ActiveIndividual· Physician Assistant· Roosevelt, UT
Physician Assistant (PA) with Evanston Clinic Corp and 1 other group, practicing in Roosevelt, Utah. 136 Medicare patients in 2024, $16,786 paid; nearly all of their 298 Part D prescriptions were generic (96%). Lists Evanston Regional Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1639367337 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 9, 2007 |
| Last updated in NPPES | Mar 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 6704805-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MS); Practitioner - Physician Assistant (UT); Practitioner - Physician Assistant (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 875 across 39 procedure codes |
| Paid by Medicare | $16,786 |
Part D prescriptions in 2024
| Prescriptions (claims) | 298 · 357 30-day fills |
|---|---|
| Patients | 151 |
| Total drug cost | $9,131 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Evanston Clinic CorpEvanston, WY · 24 clinicians
- Natchez Clinic Company LLCNatchez, MS · 9 clinicians
Hospital affiliations
- Evanston Regional HospitalEvanston, WY
- Merit Health NatchezNatchez, MS
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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