DR. EDWARD ANDREW LEGARRETA MD
NPI 1942265988
Specialist in Williamsville, NY

Active since April 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA Certified · 2 labs
100/100
CMS Quality Rating
1301 N FOREST RD, WILLIAMSVILLE, NY 14221(716) 633-2203(716) 633-7738 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Andrew Legarreta Md NPPES

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

DR. EDWARD ANDREW LEGARRETA MD (NPI 1942265988) is an individual specialist in Williamsville, New York, licensed in New York (124124-1) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and is a graduate of State University Of New York At Buffalo School Of Medicine (1974).

NPPES Registry Identity

NPI1942265988
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. EDWARD ANDREW LEGARRETACredential: MD
Location Address1301 N FOREST RDWilliamsville, NY 14221-3277
Mailing Address1301 N Forest RdWilliamsville, NY 14221-3277 · (716) 633-2203 · Fax (716) 633-7738
Fax(716) 633-7738
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1974
Enumeration DateApril 20, 2006
Last NPPES UpdateJanuary 16, 2017
NPI 1942265988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 124124-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1301 N FOREST RD, Williamsville, NY 14221

Other Identifiers 9

Other0005075298008NY · Bcbs
Medicare NSC0820580004NY
Other00010102403NY · Univera
Medicaid00624162NY
Other161149444NY · Tax Id
Other0800088NY · Iha
Other441182737NY · Railroad Medicare
Medicare UPINB36076NY
Medicare ID-Type Unspecified075298NY

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

Dr. Edward Andrew Legarreta 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 ID6507858958
PECOS Enrollment IDI20080422000658
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.

CLIA Laboratory Certificates CMS CLIA 2

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 33D2097418

Edward A Legarreta, MD · Williamsville, NY
Active · expires Jun 15, 2027
CLIA Number33D2097418
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorDr. Edward A. Legarreta
Laboratory Phone(716) 633-2203
Laboratory LocationEdward A Legarreta, MD1301 N Forest Road, Suite 7, Williamsville, NY 14221
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2097421

Edward A Legarreta, MD · Cheektowaga, NY
Active · expires Jun 15, 2027
CLIA Number33D2097421
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorDr. Edward A. Legarreta
Laboratory Phone(716) 633-2203
Laboratory LocationEdward A Legarreta, MD2720 Union Road, Cheektowaga, NY 14227
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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.

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.
322 services94 patients
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.
218 services117 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.
209 services108 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).
189 services94 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
160 services91 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
132 services116 patients

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
Ophthalmology
1301 N FOREST RD, SUITE 7
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

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 Edward Legarreta's NPI number?

The NPI number for Edward Legarreta is 1942265988. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Edward Legarreta located?

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

What is Edward Legarreta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Edward Legarreta enrolled in Medicare?

Yes. Edward 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.

Does Edward Legarreta hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Edward 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 Edward 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.

When was this NPI record last updated?

The NPPES record for Edward Legarreta was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.