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MARY A LEGASPI M.D.
NPI 1063662526
Emergency Medicine in Summit, NJ

Active since September 22, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
33 OVERLOOK RD, SUITE L01, SUMMIT, NJ 07901(908) 522-5700(908) 273-8014 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary A Legaspi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY A LEGASPI M.D. (NPI 1063662526) is an individual emergency medicine provider in Summit, New Jersey, licensed in California (A116589) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Guam Memorial Hospital Authority, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063662526
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARY A LEGASPICredential: M.D.
Location Address33 OVERLOOK RD, SUITE L01Summit, NJ 07901-3570
Mailing Address33 Overlook Rd, Ste L01Summit, NJ 07901-3570 · (908) 522-5700 · Fax (908) 273-8014
Phone(908) 522-5700
Fax(908) 273-8014
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 22, 2008
Last NPPES UpdateJune 23, 2011
✔ NPI 1063662526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A116589
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
33 OVERLOOK RD, Summit, NJ 07901
Open in Google Maps ↗

Other Identifiers 1

OtherA116589CA · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary A Legaspi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749459626
PECOS Enrollment IDI20161219001600
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
67 services64 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Guam Memorial Hospital Authority

Acute Care Hospitals · Tamuning, GU
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number650001
Location85O Gov Carlos G Camacho RoadTamuning, GU 96913 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.62
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALPHA BEHAVIORAL CARE PA
Psychiatry & Neurology (Psychiatry)
33 OVERLOOK RD, SUITE 210
SUMMIT, NJ 07901
Union County (908) 273-0800
ELFIE WEGNER RN P
Nurse Practitioner
33 OVERLOOK RD
SUMMIT, NJ 07901
Union County (973) 971-7184
CHANG KWEON MD
Anesthesiology
33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901
Union County (908) 598-1500
DR. ELISE BUTKIEWICZ MD
Family Medicine
33 OVERLOOK RD, 103
SUMMIT, NJ 07901
Union County (908) 522-5700
JASON BYERS MD
Anesthesiology
33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901
Union County (908) 598-1500
SUMMIT PLASTIC SURGERY, PC
Surgery (Plastic and Reconstructive Surgery)
33 OVERLOOK RD, SUITE 310
SUMMIT, NJ 07901
Union County (908) 918-1969
DR. JOSEPH F ALTONGY M.D.
Orthopaedic Surgery
33 OVERLOOK RD, SUITE 202
SUMMIT, NJ 07901
Union County (908) 273-8340
BEVERLY PRANZATELLI P.T.
Physical Therapist
33 OVERLOOK RD, SUITE 203
SUMMIT, NJ 07901
Union County (908) 608-0706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Legaspi's NPI number?

The NPI number for Mary Legaspi is 1063662526. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Where is Mary Legaspi located?

Mary Legaspi practices at 33 Overlook Rd Suite L01, Summit, NJ 07901. The listed phone number is (908) 522-5700.

What is Mary Legaspi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mary Legaspi enrolled in Medicare?

Yes. Mary Legaspi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mary Legaspi affiliated with any hospitals?

According to CMS data, Mary Legaspi is affiliated with Guam Memorial Hospital Authority.

When was this NPI record last updated?

The NPPES record for Mary Legaspi was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.