LEGACY FAMILY MEDICINE PLLC
NPI 1699587139
Family Medicine in Madill, OK
About Legacy Family Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY FAMILY MEDICINE PLLC (NPI 1699587139) is a healthcare organization registered as a family medicine in Madill, Oklahoma and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Bailey Buck, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Legacy Family Medicine PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 37D2318432
Legacy Family Medicine, PLLC · Madill, OKFrequently 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 Family Medicine PLLC's NPI number?
The NPI number for Legacy Family Medicine PLLC is 1699587139. It was assigned to this organization in the NPPES registry on January 22, 2025.
Where is Legacy Family Medicine PLLC located?
Legacy Family Medicine PLLC is located at 207 E Taliaferro St, Madill, OK 73446. The listed phone number is (580) 677-9500.
What is Legacy Family Medicine PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Legacy Family Medicine PLLC enrolled in Medicare?
Yes. Legacy Family Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legacy Family Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Legacy Family Medicine PLLC, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Legacy Family Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2318432) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Legacy Family Medicine PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Legacy Family Medicine PLLC 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 Legacy Family Medicine PLLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Legacy Family Medicine Pllc · NPI 1699587139
Family Medicine organization in Madill, Oklahoma. Organization record, active in the CMS NPPES registry since January 22, 2025.
## Identity
- **NPI:** 1699587139 (Entity type: Organization)
- **Enumerated:** January 22, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Bailey Buck, OWNER
## Practice location
- **Address:** 207 E TALIAFERRO ST, Madill, OK 73446-3410
- **Phone:** (580) 677-9500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699587139) · Data from the CMS NPPES public registry.