DR. MICHELLE SUE LEGACY (DO) – Dermatology Physician, NPI 1982855110

DR. MICHELLE SUE LEGACY (DO) is a healthcare provider. based in Bloomfield hills, Michigan. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 5101017676 (MI). The NPI Number for DR. MICHELLE SUE LEGACY (DO) is 1982855110

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE SUE LEGACY (DO)
NPI
1982855110
Phone
(248) 338-6400
Address
1900 S TELEGRAPH RD
Enumeration Date
7 October 2008
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2483386400
Graduation Year
2008 (18 years ago)
PAC ID
6901095710
Group Practice PAC ID
8325338148
Professional Enrollment ID
I20110110000783
Address ID
MI483284741WA1392XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:17State licenses:2Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for DR. MICHELLE SUE LEGACY (DO)

  • 1900 S TELEGRAPH RD

    SUITE 100

    BLOOMFIELD HILLS, MI 48302

    Phone: (248) 338-6400

    Fax: (248) 338-2920

    Type: Mailing

  • 2817 S Milford Rd

    Highland, MI 483574900

    Phone: (248) 338-6400

    Type: Location

  • 1392 S CASS LAKE RD

    WATERFORD, MI 483284741

    Phone: (248) 338-6400

    Fax: (248) 338-2920

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $2,115.

Total Amount is formed as General ($2,115) + Research ($0) + Ownership ($0) = $2,115.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($372).

Total Amount

$2,115

General + Research + Ownership

Payments

83

Total payment records

General Amount

$2,115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110110000783IDermatologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths907110$0
17000Destruction of precancer skin growth, 1 growth171117$0
99213Established patient office or other outpatient visit, 20-29 minutes163133$0
11102Biopsy of related skin growth, first growth9075$0
17110Destruction of skin growth, 1-14 growths7563$0
View full utilization report →

Insurance plans in this area (ZIP 48302)

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Provider's Procedures

DR. MICHELLE SUE LEGACY (DO) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2524

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325338148View full group profile
NameSpecialtyState
Physician AssistantMI
D E R M A T O L O G YMI
Physician AssistantMI

Reviews

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Frequently asked questions

How do I look up DR. MICHELLE SUE LEGACY (DO) by NPI?
Use NPI 1982855110 when you need to reference DR. MICHELLE SUE LEGACY (DO) in forms, claims, or directories.
Is DR. MICHELLE SUE LEGACY (DO) active in the national directory?
DR. MICHELLE SUE LEGACY (DO)'s public NPI profile is in an active state.
What does DR. MICHELLE SUE LEGACY (DO) treat or focus on?
Patients typically see DR. MICHELLE SUE LEGACY (DO) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MICHELLE SUE LEGACY (DO)'s primary listing?
We display Bloomfield Hills, Michigan because that is what the record indicates for DR. MICHELLE SUE LEGACY (DO).
What if Bloomfield Hills, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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