JOHN EDWARD LEGARRETA M.D.
NPI 1629395892
Ophthalmology in Williamsville, NY

Active since April 28, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1301 N FOREST RD, SUITE 7, WILLIAMSVILLE, NY 14221(716) 633-2203 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Edward Legarreta M.d. NPPES

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

JOHN EDWARD LEGARRETA M.D. (NPI 1629395892) is an individual ophthalmology provider in Williamsville, New York, licensed in New York (276395) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Mount St. Mary's Hospital & Health Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629395892
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN EDWARD LEGARRETACredential: M.D.
Location Address1301 N FOREST RD, SUITE 7Williamsville, NY 14221-3277
Mailing Address1176 Main StBuffalo, NY 14209-2102 · (716) 888-4836 · Fax (716) 887-2991
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 28, 2010
Last NPPES UpdateOctober 23, 2015
NPI 1629395892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NY · 276395 Licensed in FL · ME118846
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1301 N FOREST RD, Williamsville, NY 14221

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

John Edward Legarreta M.d. 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 ID6103043716
PECOS Enrollment IDI20150901001161
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 15

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
791 services335 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
488 services180 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
480 services162 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
424 services224 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
238 services169 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
144 services130 patients

Hospital Affiliations CMS Care Compare

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

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 5

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

Optometrist
1301 N FOREST RD
WILLIAMSVILLE, NY 14221
Optometrist
1301 N FOREST RD
WILLIAMSVILLE, NY 14221
Plastic Surgery
1301 N FOREST RD, SUITE 1
WILLIAMSVILLE, NY 14221
Dentist (General Practice)
1301 N FOREST RD, SUITE 3
WILLIAMSVILLE, NY 14221
Specialist
1301 N FOREST RD
WILLIAMSVILLE, NY 14221

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 John Legarreta's NPI number?

The NPI number for John Legarreta is 1629395892. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Where is John Legarreta located?

John Legarreta practices at 1301 N Forest Rd Suite 7, Williamsville, NY 14221. The listed phone number is (716) 633-2203.

What is John Legarreta's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Legarreta enrolled in Medicare?

Yes. John Legarreta 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 John Legarreta accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list John Legarreta 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 John Legarreta affiliated with any hospitals?

According to CMS data, John Legarreta is affiliated with Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for John Legarreta was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.