JANET M. LEGARE M.D.
NPI 1356325914
Pediatrics - Developmental - Behavioral Pediatrics in Madison, WI
NPI Status: Active since December 06, 2005
Contact Information
1500 HIGHLAND AVE
MADISON, WI
ZIP 53705
Phone: (608) 263-3301
Fax: (608) 265-7429
- Individual
- Female
- Years of Experience 29
- Pediatrics
- Developmental - Behavioral Pediatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JANET LEGARE
This page provides the complete NPI Profile along with additional information for Janet Legare, a pediatrician established in Madison, Wisconsin with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics and more than 29 years of experience. She graduated from University Of Wisconsin School Of Medicine in 1997. The healthcare provider is registered in the NPI registry with number 1356325914 assigned on December 2005. The practitioner's primary taxonomy code is 2080P0006X with license number 63041-20 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1356325914
- Provider Name
- JANET M. LEGARE M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 HIGHLAND AVE MADISON, WI 53705
- Location Phone
- (608) 263-3301
- Location Fax
- (608) 265-7429
- Mailing Address
- 7974 UW HEALTH CT MIDDLETON, WI 53562
- Medical School Name
- UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-06-2005
- Last Update Date
- 02-02-2021
- Code Navigator
A pediatrician like Janet Legare is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Developmental - Behavioral Pediatrics
- Taxonomy Code
- 2080P0006X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 63041-20
- License State
- WI
- Taxonomy Description
- A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Oak $1,300 Gold - PPO
- Oak $2,000 Standard Gold - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Janet Legare is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Janet Legare is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2860521028
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20141014000765
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356325914, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
MADISON, WI 53705
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356325914, enumerated as an "individual" on December 06, 2005.
The provider is located at 1500 HIGHLAND AVE MADISON, WI 53705 and the phone number is (608) 263-3301.
Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.
