Shane Larson, M.D.
NPI 1750601191 · Sports Medicine (Family Medicine) Physician · Fort Eustis, VA
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Larson, M.D. is a Sports Medicine (Family Medicine) Physician provider in Fort Eustis, VA (NPI 1750601191).
Provider details
- NPI number
- 1750601191
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 67238 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 2817 Reilly RoadFort Bragg, NC 28310Phone: (910) 643-1427
Registry dates
- Enumerated
- 2010-06-08
- Last updated
- 2022-04-27
- Certified
- 2022-04-27
Frequently asked questions
- What is Shane Larson's NPI number?
- Shane Larson's National Provider Identifier (NPI) is 1750601191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Larson's specialty?
- Shane Larson is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Larson located?
- Shane Larson's practice location on file with NPPES is 576 Jefferson Ave, Fort Eustis, VA 23604-1373.
- What is Shane Larson's phone number?
- The practice phone number listed in the NPPES registry for Shane Larson is (757) 820-1043.
- Does Shane Larson accept Medicare?
- Shane Larson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Larson's NPI active?
- Yes — Shane Larson's NPI (1750601191) is active in the NPPES registry as of the last update on 2022-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.