Larson Vickery, PA-C
NPI 1477171494 · Physician Assistant · Charlotte, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larson Vickery, PA-C is a Physician Assistant provider in Charlotte, NC (NPI 1477171494).
Provider details
- NPI number
- 1477171494
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-10264 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
127 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 99 | $137 |
| Psychiatric Services Complicated By Communication Factor90785 | 28 | $11 |
Typical Medicare-allowed amounts for these services range $11–$137 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 200 Hawthorne LnCharlotte, NC 28204-2515Phone: (704) 384-4000
Registry dates
- Enumerated
- 2020-07-07
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Frequently asked questions
- What is Larson Vickery's NPI number?
- Larson Vickery's National Provider Identifier (NPI) is 1477171494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larson Vickery's specialty?
- Larson Vickery is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Larson Vickery located?
- Larson Vickery's practice location on file with NPPES is 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179.
- What is Larson Vickery's phone number?
- The practice phone number listed in the NPPES registry for Larson Vickery is (980) 302-8850.
- Does Larson Vickery accept Medicare?
- Larson Vickery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larson Vickery's NPI active?
- Yes — Larson Vickery's NPI (1477171494) is active in the NPPES registry as of the last update on 2023-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.