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Dr. James D Larson , MD

Surgery • Grafton, WI

Active NPI 1164632410 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

975 Port Washington Rd, Suite 320
Grafton, WI 530249201

Call 2623298100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

975 Port Washington Rd
Suite 320

Grafton, WI 530249201

Telephone 2623298100
Organization at the Same NPPES Address or Phone
Aurora Medical Center Grafton Facility NPI 1124463815

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Aurora Advanced Healthcare, Inc.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Medical College Of Wisconsin

Graduation Year

2007

Medicare patients

211 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $24,409 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $18,133 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

13 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$96 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Open Payments general payments, program year 2024

All general payments: $4,318.29 across 4 records.

By nature of payment

  • Education: $4,000.00 across 1 record.
  • Travel and Lodging: $168.29 across 2 records.
  • Food and Beverage: $150.00 across 1 record.

Reporting-company totals

  • INTUITIVE SURGICAL, INC.: $4,150.00 across 2 records.
  • Baxter Healthcare: $168.29 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

19 years (graduated 2007)

CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Larson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Larson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Grafton and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Surgery in Wisconsin (2024, 357 clinicians with data). Median for this group: 125. Middle half: 60 to 231.

Too few clinicians listed under Surgery in Grafton have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Surgery in Wisconsin (2024, 357 clinicians with data). Median for this group: $15,446. Middle half: $7,289 to $30,123.

Too few clinicians listed under Surgery in Grafton have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Surgery in Wisconsin (2024, 357 clinicians with data). Median for this group: $11,441. Middle half: $5,266 to $22,812.

Too few clinicians listed under Surgery in Grafton have Medicare Part B data for 2024 to compare.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Larson are from 2023.

5 active clinicians are listed under Surgery with a practice address in Grafton, WI (727 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $4,318.29.

Manufacturer Payment Nature Product Type Amount ($)
INTUITIVE SURGICAL, INC.
Education
Cash or cash equivalent
Da Vinci Surgical System General $4,000.00
INTUITIVE SURGICAL, INC.
Food and Beverage
Cash or cash equivalent
Da Vinci Surgical System General $150.00
Baxter Healthcare
Travel and Lodging
In-kind items and services
PERCLOT General $90.05
Baxter Healthcare
Travel and Lodging
In-kind items and services
PERCLOT General $78.24

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
99 99 $510.00 $101.78
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
47 42 $350.00 $84.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
43 22 $390.00 $72.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
35 35 $620.00 $113.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
13 13 $1460.00 $250.97

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D · Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Odt Ondansetron 13 70 $95.67 —

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-13
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES WI 60324

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100030318 (WI)
Other Identifier Acgme Training License
C7-0003751 (DE)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20130806000132

Enrollment State Jurisdiction

WI

PECOS Control ID

9537317946

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Aurora Advanced Healthcare, Inc.

1475 W Grand Ave, Port Washington, WI 530742074

Phone: 2622685100

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Aurora Advanced Healthcare, Inc.

3003 W Good Hope Rd, Milwaukee, WI 532092042

Phone: 4143523100

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Ashley Clewien , NP

Nurse Practitioner

NPI 1730577784

Nurse Practitioner

Dr. Rose Dotson , MD

Psychiatry & Neurology - Neurology

NPI 1154404721

Doctor of Medicine (M.D.)

Kathleen Klement , NP

Nurse Practitioner

NPI 1700259462

Nurse Practitioner

NPI 1245204197

Doctor of Medicine (M.D.)

Nicole White , NP

Nurse Practitioner

NPI 1649521345

Nurse Practitioner

Mary Yellick , APNP

Nurse Practitioner - Family

NPI 1508812918

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Business Mailing Address June 13, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2025

Surgery (license number reported to NPPES: WI 60324)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2021

Surgery (license number reported to NPPES: DE C7-0003751)

âś…
NPI Profile Active July 09, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 09, 2013

Registered at 975 PORT WASHINGTON RD, SUITE 320, GRAFTON, WI 530249201 (Tel: 2623298100)

📍
Business Mailing Address (Initial Record) July 09, 2013

Registered at 3003 W GOOD HOPE RD, MILWAUKEE, WI 532092042 (Tel: 4143523100)

👤
Provider Name / Credentials (Initial Record) July 09, 2013

Recorded as JAMES LARSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2013

Surgery (license number reported to NPPES: WI 60324)

🟢
Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164632410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: June 13, 2025
Sole Proprietor: No

Other Surgery Specialists in Grafton

Healthcare providers in Grafton

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.