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AMY B LEGGHIO NP-C
NPI 1285118083
Nurse Practitioner - Adult Health in Mount Clemens, MI

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
1080 HARRINGTON ST STE 202, MOUNT CLEMENS, MI 48043(586) 493-3440 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy B Legghio Np-c NPPES

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

AMY B LEGGHIO NP-C (NPI 1285118083) is an individual adult health provider in Mount Clemens, Michigan, licensed in Michigan (4704210652) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Karmanos Cancer Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285118083
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMY B LEGGHIOCredential: NP-C
Location Address1080 HARRINGTON ST STE 202Mount Clemens, MI 48043-2903
Mailing Address1080 Harrington St Ste 202Mount Clemens, MI 48043-2903
Phone(586) 493-3440
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 18, 2018
✔ NPI 1285118083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704210652
1080 HARRINGTON ST STE 202, Mount Clemens, MI 48043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Amy B Legghio Np-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 ID9436493707
PECOS Enrollment IDI20181128001388
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
6 suppliers11 claims26 services$33.92 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

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

MOHAMMED T MASRI MD
Internal Medicine (Hematology & Oncology)
1080 HARRINGTON ST STE 202
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3440

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 Amy Legghio's NPI number?

The NPI number for Amy Legghio is 1285118083. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Amy Legghio located?

Amy Legghio practices at 1080 Harrington St Ste 202, Mount Clemens, MI 48043. The listed phone number is (586) 493-3440.

What is Amy Legghio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amy Legghio enrolled in Medicare?

Yes. Amy Legghio 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 Amy Legghio accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Amy Legghio 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 Amy Legghio affiliated with any hospitals?

According to CMS data, Amy Legghio is affiliated with Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Amy Legghio was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.