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THOMAS DALE LEGALLEY MD
NPI 1255375614
Internal Medicine - Cardiovascular Disease in Marquette, MI

Active since June 16, 2006PECOS Enrolled
1414 WEST FAIR AVENUE, SUITE 334, MARQUETTE, MI 49855(906) 225-3870(906) 225-4861 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Dale Legalley Md NPPES

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

THOMAS DALE LEGALLEY MD (NPI 1255375614) is an individual cardiovascular disease provider in Marquette, Michigan, licensed in Michigan (4301038201) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255375614
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTHOMAS DALE LEGALLEYCredential: MD
Location Address1414 WEST FAIR AVENUE, SUITE 334Marquette, MI 49855
Mailing Address1414 West Fair Avenue, Suite 334Marquette, MI 49855 · (906) 225-3870 · Fax (906) 225-4861
Phone(906) 225-3870
Fax(906) 225-4861
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1255375614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 4301038201
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1414 WEST FAIR AVENUE, Marquette, MI 49855
Open in Google Maps ↗

Other Identifiers 5

Medicaid1391202MI
Medicare UPINB43723
Medicare PINN85390004
Medicaid34965800WI
Other0605206331MI · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Dale Legalley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Legalley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Marquette Physician Practices Inc
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1414 W FAIR AVE, STE 334
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 440 clinicians in this Medicare group
NPI 1073861431 (906) 225-3870
Portage Hospital LLC
69 mi
General Acute Care Hospital
500 CAMPUS DR
Hancock, MI 49930
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group
NPI 1245667229 (906) 483-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
371 services262 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 9

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

NELSON ERIC GENCHEFF DO
Internal Medicine (Cardiovascular Disease)
1414 WEST FAIR AVENUE, SUITE 334
MARQUETTE, MI 49855
Marquette County (906) 225-3870
JOHN MICHAEL PAP MD
Internal Medicine (Cardiovascular Disease)
1414 WEST FAIR AVENUE, SUITE 334
MARQUETTE, MI 49855
Marquette County (906) 225-3870
DAVID ARVO PESOLA MD
Internal Medicine (Cardiovascular Disease)
1414 WEST FAIR AVENUE, SUITE 334
MARQUETTE, MI 49855
Marquette County (906) 225-3870
ROBERT CHARLES DELLANGELO
Ophthalmology
1414 WEST FAIR AVENUE, STE 347
MARQUETTE, MI 49855
Marquette County (906) 225-4512
CURTIS CHARLES MARDER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1414 WEST FAIR AVENUE, SUITE 342
MARQUETTE, MI 49855
Marquette County (906) 225-3870
GAIL PETERS BRAYDEN MD
Internal Medicine (Cardiovascular Disease)
1414 WEST FAIR AVENUE, SUITE 334
MARQUETTE, MI 49855
Marquette County (906) 225-3870
WILLIAM CARTER VALLIN PA C
Physician Assistant
1414 WEST FAIR AVENUE, SUITE 342
MARQUETTE, MI 49855
Marquette County (906) 225-3870
JAMES L CHRISTIANSEN MD PC
Pediatrics (Pediatric Cardiology)
1414 WEST FAIR AVENUE, SUITE 334
MARQUETTE, MI 49855
Marquette County (906) 225-3870

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 Thomas Legalley's NPI number?

The NPI number for Thomas Legalley is 1255375614. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Thomas Legalley located?

Thomas Legalley practices at 1414 West Fair Avenue Suite 334, Marquette, MI 49855. The listed phone number is (906) 225-3870.

What is Thomas Legalley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Legalley enrolled in Medicare?

Yes. Thomas Legalley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Legalley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Legalley reassigns Medicare benefits to 2 organizations: Dlp Marquette Physician Practices Inc (Marquette, MI) and Portage Hospital LLC (Hancock, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Legalley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Legalley was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.