HEATHER KAY LEGG PA-C
NPI 1154844249
Physician Assistant in Madison, WV

Active since July 20, 2017PECOS EnrolledAccepts Medicare Assignment
701 MADISON AVE, MADISON, WV 25130(304) 369-1230 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Kay Legg Pa-c NPPES

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

HEATHER KAY LEGG PA-C (NPI 1154844249) is an individual physician assistant in Madison, West Virginia, licensed in West Virginia (2075) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154844249
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER KAY LEGGCredential: PA-C
Location Address701 MADISON AVEMadison, WV 25130-1669
Mailing Address700 Lime Kiln RdRed House, WV 25168-7522 · (304) 543-7241
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 20, 2017
NPI 1154844249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 2075
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
701 MADISON AVE, Madison, WV 25130

Accepted Insurance

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

Heather Kay Legg Pa-c 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 ID6406112945
PECOS Enrollment IDI20171115003751
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25130 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$107.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
701 MADISON AVE
MADISON, WV 25130
Nurse Practitioner
701 MADISON AVE
MADISON, WV 25130
Nurse Practitioner (Family)
701 MADISON AVE
MADISON, WV 25130
Nurse Practitioner (Family)
701 MADISON AVE
MADISON, WV 25130
Internal Medicine (Pulmonary Disease)
701 MADISON AVE
MADISON, WV 25130
Nurse Practitioner (Family)
701 MADISON AVE
MADISON, WV 25130
General Practice
701 MADISON AVE
MADISON, WV 25130
Family Medicine
701 MADISON AVE
MADISON, WV 25130

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 Heather Legg's NPI number?

The NPI number for Heather Legg is 1154844249. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Heather Legg located?

Heather Legg practices at 701 Madison Ave, Madison, WV 25130. The listed phone number is (304) 369-1230.

What is Heather Legg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Legg enrolled in Medicare?

Yes. Heather Legg 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.

What insurance does Heather Legg accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Heather Legg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Legg affiliated with any hospitals?

According to CMS data, Heather Legg is affiliated with St Mary's Medical Center and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heather Legg was last updated on July 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.