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: August 02, 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
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

Secondary Practice Location 1

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

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

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.

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.

Nurse Practitioner (Family)
3617 S PACIFIC HWY
MEDFORD, OR 97501
Social Worker (Clinical)
3617 S PACIFIC HWY
MEDFORD, OR 97501
Pharmacy (Community/Retail Pharmacy)
3617 S PACIFIC HWY
MEDFORD, OR 97501
Community Health Worker
3617 S PACIFIC HWY
MEDFORD, OR 97501
Registered Nurse
3617 S PACIFIC HWY
MEDFORD, OR 97501
Registered Nurse
3617 S PACIFIC HWY
MEDFORD, OR 97501
Nurse Practitioner (Family)
3617 S PACIFIC HWY
MEDFORD, OR 97501
Family Medicine
3617 S PACIFIC HWY
MEDFORD, OR 97501

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.

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 9 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.