LEGACY GYNECOLOGY PLLC
NPI 1598370975
Obstetrics & Gynecology - Gynecology in Amherst, NY

Active since September 11, 2020
136 MAPLE RD, AMHERST, NY 14221(716) 815-2400 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Legacy Gynecology Pllc NPPES

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

LEGACY GYNECOLOGY PLLC (NPI 1598370975) is a healthcare organization registered as a gynecology in Amherst, New York and active in the NPI registry since September 2020. The organization lists Kristen Smyers, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1598370975
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameLEGACY GYNECOLOGY PLLC
Location Address136 MAPLE RDAmherst, NY 14221-2922
Mailing Address99 S Rockingham WayAmherst, NY 14228-3723 · (716) 815-2400
Organization SubpartNo
Authorized OfficialKristen SmyersMd/owner · (716) 815-2400
Enumeration DateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1598370975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
136 MAPLE RD, Amherst, NY 14221

Other Identifiers 1

Medicaid03351159NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Gynecology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Legacy Gynecology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1033008859
136 MAPLE RD
Williamsville, NY 14221
(716) 815-2400
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1063652972
10175 NIAGARA FALLS BLVD STE 1
Niagara Falls, NY 14304
(716) 205-0170
✔ PECOS✔ Accepts Medicare11 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2196173

Legacy Gynecology PLLC · Williamsville, NY
Expired · Oct 14, 2026
CLIA Number33D2196173
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorKristen L. Smyers
Laboratory Phone(716) 815-2400
Laboratory LocationLegacy Gynecology PLLC136 Maple Road, Williamsville, NY 14221
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Legacy Gynecology PLLC's NPI number?

The NPI number for Legacy Gynecology PLLC is 1598370975. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Legacy Gynecology PLLC located?

Legacy Gynecology PLLC is located at 136 Maple Rd, Amherst, NY 14221. The listed phone number is (716) 815-2400.

What is Legacy Gynecology PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Legacy Gynecology PLLC enrolled in Medicare?

Yes. Legacy Gynecology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Gynecology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Legacy Gynecology PLLC, in Nurse Practitioner and Obstetrics/Gynecology. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Legacy Gynecology PLLC was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.