DR. SCOTT DANIEL LEGUNN MD
NPI 1609193184
Internal Medicine - Rheumatology in Burlington, VT

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
111 COLCHESTER AVE., UVM MEDICAL CENTER - MEDICINE/RHEUMATOLOGY, BURLINGTON, VT 05401(802) 847-4574(802) 847-9695 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott Daniel Legunn Md NPPES

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

DR. SCOTT DANIEL LEGUNN MD (NPI 1609193184) is an individual rheumatology provider in Burlington, Vermont, licensed in Vermont (042.0013171) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609193184
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SCOTT DANIEL LEGUNNCredential: MD
Location Address111 COLCHESTER AVE., UVM MEDICAL CENTER - MEDICINE/RHEUMATOLOGYBurlington, VT 05401
Mailing Address111 Colchester Ave., Uvm Medical Center - Medicine/rheumatologyBurlington, VT 05401 · (802) 847-4574 · Fax (802) 847-9695
Fax(802) 847-9695
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 23, 2010
Last NPPES UpdateJune 4, 2015
NPI 1609193184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in VT · 042.0013171
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

111 COLCHESTER AVE., Burlington, VT 05401

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

Dr. Scott Daniel Legunn Md 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 ID7618280843
PECOS Enrollment IDI20220912000796
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 4

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, 30-39 minutes 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.
199 services163 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
23 services20 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
111 COLCHESTER AVE.
BURLINGTON, VT 05401
Obstetrics & Gynecology (Reproductive Endocrinology)
111 COLCHESTER AVE., FAHC
BURLINGTON, VT 05401
Nurse Practitioner (Family)
111 COLCHESTER AVE.
BURLINGTON, VT 05401
Emergency Medicine
111 COLCHESTER AVE., FLETCHER ALLEN HEALTH CARE - EMERGENCY DEPT.
BURLINGTON, VT 05401
Pediatrics (Pediatric Critical Care Medicine)
111 COLCHESTER AVE., FAHC
BURLINGTON, VT 05401
Internal Medicine
111 COLCHESTER AVE., FAHC
BURLINGTON, VT 05401
Internal Medicine (Hematology & Oncology)
111 COLCHESTER AVE., FAHC
BURLINGTON, VT 05401
Pediatrics (Neonatal-Perinatal Medicine)
111 COLCHESTER AVE., UVM MEDICAL CENTER - CHILDREN'S/NEONATOLOGY
BURLINGTON, VT 05401

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 Scott Legunn's NPI number?

The NPI number for Scott Legunn is 1609193184. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Scott Legunn located?

Scott Legunn practices at 111 Colchester Ave. Uvm Medical Center - Medicine/Rheumatology, Burlington, VT 05401. The listed phone number is (802) 847-4574.

What is Scott Legunn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Scott Legunn enrolled in Medicare?

Yes. Scott Legunn 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 Scott Legunn accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Scott Legunn 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 Scott Legunn affiliated with any hospitals?

According to CMS data, Scott Legunn is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Legunn was last updated on June 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.