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DYLAN NICHOLAS LEGRADY
NPI 1629786660
Nurse Practitioner - Family in Medford, OR

Active since November 08, 2022PECOS EnrolledAccepts Medicare Assignment
3617 S PACIFIC HWY, MEDFORD, OR 97501(541) 535-6239 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2025, Sep 9, 2025, Nov 8, 2022 (3 updates tracked since 2022).

About Dylan Nicholas Legrady NPPES

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

DYLAN NICHOLAS LEGRADY (NPI 1629786660) is an individual family provider in Medford, Oregon, licensed in Oregon (10000123) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Medford, and is a graduate of Oregon Health Sciences University School Of Medicine (2025).

NPPES Registry Identity

NPI1629786660
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDYLAN NICHOLAS LEGRADY
Location Address3617 S PACIFIC HWYMedford, OR 97501-8957
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239
Phone(541) 535-6239
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2025
Enumeration DateNovember 8, 2022
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1629786660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10000123
3617 S PACIFIC HWY, Medford, OR 97501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1638 Market StMedford, OR 97504-6126 · Phone (541) 535-6239

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dylan Nicholas Legrady 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 ID8729583588
PECOS Enrollment IDI20250924000974
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.

Medicare Billing Reassignment

Medicare enrollment records show Dylan Legrady reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica Del Valle Family Health Care Center Inc.
3.8 mi
Federally Qualified Health Center (FQHC)
221 W STEWART AVE
Medford, OR 97501
  • Reassigned Medicare billing, Oregon enrollment
  • 56 clinicians in this Medicare group
NPI 1679896278 (541) 690-3500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97501 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

TAMARA JOY CHAMBERS APRN, FNP-C
Nurse Practitioner (Family)
3617 S PACIFIC HWY
MEDFORD, OR 97501
Jackson County (541) 535-6239
ELISE TRAVERTINI LCSW
Social Worker (Clinical)
3617 S PACIFIC HWY
MEDFORD, OR 97501
Jackson County (541) 535-6239
LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Pharmacy (Community/Retail Pharmacy)
3617 S PACIFIC HWY
MEDFORD, OR 97501
Jackson County (541) 535-6239
YLIANA DUARTE-CHAVEZ
Community Health Worker
3617 S PACIFIC HWY
MEDFORD, OR 97501
Jackson County (541) 535-6239
KARA E. CARNEY RN
Registered Nurse
3617 S PACIFIC HWY
MEDFORD, OR 97501
Jackson County (541) 535-6239
DANIEL MACLELLAN
Registered Nurse
3617 S PACIFIC HWY
MEDFORD, OR 97501
Jackson County (541) 535-6239
MS. BARBARA MICHELLE BRYANT FNP
Nurse Practitioner (Family)
3617 S PACIFIC HWY
MEDFORD, OR 97501
Jackson County (541) 535-6239
LAURALYN BROOKE CARTER-MELETICH DO
Family Medicine
3617 S PACIFIC HWY
MEDFORD, OR 97501
Jackson County (541) 535-6239

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 Dylan Legrady's NPI number?

The NPI number for Dylan Legrady is 1629786660. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Dylan Legrady located?

Dylan Legrady practices at 3617 S Pacific Hwy, Medford, OR 97501. The listed phone number is (541) 535-6239.

What is Dylan Legrady's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dylan Legrady enrolled in Medicare?

Yes. Dylan Legrady 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.

Which organization bills Medicare for Dylan Legrady's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Legrady reassigns Medicare benefits to La Clinica Del Valle Family Health Care Center Inc. (Medford, OR). The 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 Dylan Legrady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Legrady accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Dylan Legrady 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.

When was this NPI record last updated?

The NPPES record for Dylan Legrady was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.