Doctor profile · Federal record

Dr. Larson Vickery, PA-C

Physician Assistant · Charlotte, NC

  • NPI 1477171494
  • Accepts Medicare
  • 7 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
3545 Whitehall Park Dr Ste 300
Charlotte, NC 282734179
(980) 302-8850
Additional location
200 Hawthorne Ln
Charlotte, NC 282042515
(704) 384-4000
Mailing address
Po Box 60447
Charlotte, NC 282600447

Credentials & registration

NPPES · NUCC
NPI registered
July 2020 — 6 yrs on file
Profile last updated
May 30, 2023
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
North Carolina #0010-10264

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1477171494. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
155
Distinct HCPCS
3
Medicare allowed
$17,656
HCPCS Description Services Patients Avg allowed
90792 Psychiatric diagnostic evaluation with medical services 95 87 $141
90785 Psychiatric services complicated by communication factor 34 31 $11
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth 26 26 $151

In context: peer comparison

Among 349 peers in Charlotte Physician Assistant, average services per provider: 82. This provider delivers 1.9× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Larson Vickery's medical specialty?
Dr. Larson Vickery practices Physician Assistant in Charlotte, NC.
Where does Dr. Larson Vickery practice?
Dr. Larson Vickery practices at 3545 Whitehall Park Dr Ste 300, Charlotte, NC 282734179. Office phone: 9803028850.
What is Dr. Larson Vickery's NPI?
Dr. Larson Vickery's National Provider Identifier (NPI) is 1477171494, issued by NPPES.
Does Dr. Larson Vickery accept Medicare assignment?
Yes. Dr. Larson Vickery accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Larson Vickery commonly perform?
Top Medicare-reported procedures in 2023: Psychiatric diagnostic evaluation with medical services (HCPCS 90792); Psychiatric services complicated by communication factor (HCPCS 90785); Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth (HCPCS G0427). Source: CMS Medicare Physician & Other Practitioners file.