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Larisa A. Kouperschmidt, MD

Psychiatry · Everett

NPI 1336442888

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1

Offices

1 location

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kouperschmidt’s office at (617) 905-2697 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

Medicaid work

$10,640 in 2024

Medicaid paid $10,640 for 93 billed services this clinician did in 2024, up to 17 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive31$10,572
Return visit (30+ min)17$69
Medication list documented in medical record (COA)23$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)22$0
Medicaid work by year
202493417$10,640
202224116$495
2020191222$1,209
2019871530$6,271
20181,518439$11,572
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES24$495

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES177$680
1ST HOSP IP/OBS HIGH 7514$529

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES239$2,053
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES564$1,809
EMERGENCY DEPT VISIT MOD MDM27$1,507
1ST HOSP IP/OBS HIGH 7527$726
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter14$176

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES910$4,815
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES441$3,863
1ST HOSP IP/OBS HIGH 75124$2,519
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter43$376

Professional record

NPI
1336442888
Licence
MA 246627
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X)
Mailing address
258 Main St Unit A, Medfield, MA, 02052
NPI first listed
2010-12-06
NPI last updated
2025-10-24
NPI record certified
2025-10-24

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 751 S Bascom Ave, San Jose, CA, 95128 · 1212 N California St, Stockton, CA, 95202