DR. MATTHEW STEPHEN LEGG MD
NPI 1801325063
Emergency Medicine in Carlisle, PA

Q: What is Matthew Legg's NPI number?

The NPI number for Matthew Legg is 1801325063. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Q: What is Matthew Legg's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Legg was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 09, 2017PECOS EnrolledAccepts Medicare Assignment

92.3/100

CMS Quality Rating

361 ALEXANDER SPRING RD, CARLISLE, PA 17015(717) 988-0000 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2021, Nov 12, 2020, Aug 16, 2019 and 1 more (4 updates tracked since 2017).

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About Dr. Matthew Stephen Legg Md NPPES

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

DR. MATTHEW STEPHEN LEGG MD (NPI 1801325063) is an individual emergency medicine provider in Carlisle, Pennsylvania, licensed in Pennsylvania (MD470744) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1801325063

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MATTHEW STEPHEN LEGGCredential: MD

Location Address361 ALEXANDER SPRING RDCarlisle, PA 17015-6940

Mailing Address361 Alexander Spring RdCarlisle, PA 17015-6940 · (717) 988-0000

Phone(717) 988-0000

Sole ProprietorYes

Medical School CMSToledo Medical CollegeGraduated 2017

Enumeration DateJune 9, 2017

Last NPPES UpdateJanuary 29, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2021

✔ NPI 1801325063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in PA · MD470744✔ Licensed in PA · MT214057

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

361 ALEXANDER SPRING RD, Carlisle, PA 17015

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Secondary Practice Location 1

Location 1230 N Broad StPhiladelphia, PA 19102-1121 · Phone (215) 762-7000

Other Identifiers 1

Medicaid103785915PA

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. Matthew Stephen Legg 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 ID7214266279

PECOS Enrollment IDI20200908002200

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

195 services186 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

129 services126 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

25 services25 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390058

Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17015 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

92.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.29

Improvement Activities

Cost

100

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.

DEBORAH BIDDLE CRNA

Nurse Anesthetist, Certified Registered