Jack Larsen
NPI 1972063444 · Family Medicine Physician · Johnson City, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Larsen is a Family Medicine Physician provider in Johnson City, TN (NPI 1972063444).
Provider details
- NPI number
- 1972063444
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 63135 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
4 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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 prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 45 | 15 |
| Duloxetine Hcl | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$33 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 100 Newell DriveGainesville, FL 32610-3814Phone: (352) 265-4357
- 208 Medical Park BlvdBristol, TN 37620Phone: (423) 989-4050
- 102 E Ravine RdKingsport, TN 37660-3814Phone: (423) 245-9600
Registry dates
- Enumerated
- 2019-03-21
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Jack Larsen's NPI number?
- Jack Larsen's National Provider Identifier (NPI) is 1972063444, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Larsen's specialty?
- Jack Larsen is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Larsen located?
- Jack Larsen's practice location on file with NPPES is 917 W Walnut St, Johnson City, TN 37604.
- What is Jack Larsen's phone number?
- The practice phone number listed in the NPPES registry for Jack Larsen is (423) 439-6464.
- Does Jack Larsen accept Medicare?
- Jack Larsen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Larsen's NPI active?
- Yes — Jack Larsen's NPI (1972063444) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.