Doctor profile · Federal record
Dr. Mallory Larsen, PA-C
Medical Physician Assistant (CMS: Physician Assistant) · Medical Physician Assistant · Indianapolis, IN
- NPI 1255780656
- Accepts Medicare
- 10 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5330 E Stop 11 RD
Indianapolis, IN 462376345
(317) 893-1900
fax (317) 893-1901 - Additional location
-
1402 E County Line RD
Indianapolis, IN 462270963
(317) 887-7000 - Mailing address
-
Po Box 781076
Detroit, MI 482781076
Credentials & registration
- NPI registered
- June 2016 — 10 yrs on file
- Profile last updated
- May 23, 2023
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Indiana #10002066A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255780656. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
609
Distinct HCPCS
10
Medicare allowed
$41,292
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 125 | 95 | $79 | |
99239 |
Hospital discharge day management, more than 30 minutes | 87 | 85 | $93 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 81 | 61 | $7 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 73 | 65 | $53 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 71 | 61 | $64 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 48 | 42 | $40 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 35 | 29 | $96 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 30 | 25 | $29 | |
99291 |
Critical care, first 30-74 minutes | 23 | 20 | $172 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $105 |
In context: peer comparison
Among 36 peers in Indianapolis Medical Physician Assistant, average services per provider: 62. This provider delivers 9.8× the peer median.Open Payments
Industry payments received
All-time total
$325
Transactions
7
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Edwards Lifesciences Corporation | 2 | $199.04 | |
| Medtronic, INC. | 2 | $64.13 | |
| Kestra Medical Technology Services, INC. | 1 | $24.72 | |
| Kiniksa Pharmaceuticals International, Plc | 1 | $19.74 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $17.08 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,074
Patients
496
Total drug cost
$94,013
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 273 | 112 | $3,680 |
| Carvedilol | Generic | 131 | 59 | $1,081 |
| Metoprolol Succinate | Generic | 105 | 53 | $1,638 |
| Atorvastatin Calcium | Generic | 92 | 45 | $900 |
| Losartan Potassium | Generic | 77 | 39 | $518 |
| Eliquis (Apixaban) | Brand | 54 | 20 | $61,980 |
| Amlodipine Besylate | Generic | 44 | 19 | $253 |
| Furosemide | Generic | 42 | 25 | $198 |
| Brilinta (Ticagrelor) | Brand | 41 | 12 | $20,042 |
| Metoprolol Tartrate | Generic | 38 | 19 | $164 |
Hospital affiliations
Frequently asked questions
What is Dr. Mallory Larsen's medical specialty?
Dr. Mallory Larsen practices Medical Physician Assistant in Indianapolis, IN.
Where does Dr. Mallory Larsen practice?
Dr. Mallory Larsen practices at 5330 E Stop 11 RD, Indianapolis, IN 462376345. Office phone: 3178931900.
What is Dr. Mallory Larsen's NPI?
Dr. Mallory Larsen's National Provider Identifier (NPI) is 1255780656, issued by NPPES.
Does Dr. Mallory Larsen accept Medicare assignment?
Yes. Dr. Mallory Larsen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mallory Larsen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Hospital discharge day management (HCPCS 99239); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.