LEGACY CLINICS LLC – Clinic/Center, NPI 1902827272
Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LEGACY CLINICS LLC
1130 NW 22ND AVE STE 220
PORTLAND, OR 972102969
Phone: (503) 413-2901
Type: Location
3777, Southeast Naef Road, Concord, Portland, Metro, Clackamas County, Oregon, 97267, United States
PORTLAND, OR 972083777
Phone: (503) 413-3900
Type: Mailing
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: 2005-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050627000226 | O | Clinic/Group Practice | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 226 | 226 | $0 |
| 77067 | Screening mammography | 226 | 226 | $0 |
| 71046 | X-ray of chest, 2 views | 160 | 142 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 136 | 136 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 43 | 43 | $0 |
Insurance plans in this area (ZIP 97210)
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