NPIMap

Individual provider Active NPI

Robert Steven Legrow, M.D.

  • Family Medicine Physician
  • Watertown, WI
National Provider Identifier
1013908771
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3819 Issued in TX
Practice address
127 Hospital Dr
Watertown, WI 53098-3303
Phone
(920) 261-8500
Fax
(920) 261-8828
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M3819 TX Primary

Addresses

Primary practice location

127 Hospital Dr
Watertown, WI 53098-3303

Mailing address

1428 Country Club LN
Watertown, WI 53098-4345
Phone (920) 261-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000073 WI Practitioner - Family Practice 6406818657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Watertown Family Practice Associates, SCGroup PAC ID 4183608037, 10 clinicians

Practice addresses (Care Compare)

127 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-8500

Hospital & facility affiliations

  • Commonheart Home Health Home health agency, Waukesha, WI, CCN 527151
  • Aurora at Home Home health agency, Milwaukee, WI, CCN 527001
  • Watertown Memorial Hospital Hospital, Watertown, WI, CCN 520116
  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062

Merit-based Incentive Payment System (MIPS)

Final score
94.57 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
81.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Family Practice Associates S.C. Family Medicine CurrentSince Nov 17, 2008 Accepting new patients
Memorial Hospital of South Bend Past Accepting new patients
Watertown Regional Medical Center, Inc Family Medicine PastSince Oct 1, 2014 Accepting new patients

Locations

127 Hospital Dr
Watertown, WI 53098
Phone (414) 261-8500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20962/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.s.legrow.1@20962.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1013908771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 COUNTRY CLUB LN",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530984345",
            "telephone_number": "920-261-8500",
            "fax_number": "920-261-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983303",
            "telephone_number": "920-261-8500",
            "fax_number": "920-261-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGROW",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

Verify at the official NPI Registry.