Option Care at Legacy Health – Home Infusion Therapy Pharmacy, NPI 1174875017
Home Infusion Therapy Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Option Care at Legacy Health
4222 PAYSPHERE CIR
CHICAGO, IL 606740042
Phone: (847) 964-4848
Fax: (847) 368-6600
Type: Mailing
4259 PAYSPHERE CIR
CHICAGO, IL 606740042
Phone: (847) 964-4848
Fax: (847) 368-6600
Type: Mailing
2275 NE DOCTORS DR
SUITE 10
BEND, OR 977016324
Phone: (541) 385-3254
Fax: (841) 385-1809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-03-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (864 days ago).
Enrollment records
2
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080505000737 | O | Pharmacy | OR | TBD |
| O20130308000184 | O | Pharmacy | OR | 2024-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60674)
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