Active NPI 1528084191 Individual Practitioner Male Practitioner

Dr. Edward Joseph Legare , MD

Internal Medicine • Wellesley, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edward Legare, MD is a certified Internal Medicine practicing in Wellesley, MA. With approximately 37 years of clinical experience since graduating from Tufts University School Of Medicine in 1989, Dr. Legare delivers high-quality medical care to the local community at 40 WALNUT STREET.

Dr. Legare accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

40 Walnut Street
Suite201

Wellesley, MA 024812102

Telephone 7812351224

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wellesley, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +7.2 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

82 Specialists

Practicing in Wellesley, MA (7127 Statewide)

Telehealth Adoption Rate

54.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Legare (37 Years) 37 Yrs

Wellesley Specialty Average (29.8 Years) 29.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	382	211	$21.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	200	$396.33	$139.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	311	186	$18.00	$17.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	187	187	$310.00	$141.32
G0008 Administration of influenza virus vaccine	118	116	$91.97	$35.30
90662 Influenza vaccine split virus, preservative free	116	114	$165.93	$81.65
82270 Stool analysis for blood to screen for colon tumors	99	99	$25.00	$4.29
96132 Evaluation of neuropsychological test, first hour	89	88	$180.00	$137.20
96136 Administration of psychological or neuropsychological test, first 30 minutes	81	80	$60.00	$46.05
99213 Established patient office or other outpatient visit, typically 15 minutes	61	53	$280.21	$99.60
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	43	43	$280.12	$274.51
G0009 Administration of pneumococcal vaccine	43	43	$91.21	$35.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$180.00	$59.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	200	$383.98	$140.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	183	183	$310.00	$141.83
G0008 Administration of influenza virus vaccine	121	120	$90.00	$33.84
90662 Influenza vaccine split virus, preservative free	117	116	$161.94	$71.90
82270 Stool analysis for blood to screen for colon tumors	94	94	$25.00	$4.29
99213 Established patient office or other outpatient visit, typically 15 minutes	88	71	$271.00	$99.38
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	65	65	$270.00	$264.60
G0009 Administration of pneumococcal vaccine	65	65	$90.00	$33.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$200.00	$58.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	376	199	$367.02	$143.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	189	189	$310.00	$145.91
G0008 Administration of influenza virus vaccine	124	123	$90.32	$33.69
99213 Established patient office or other outpatient visit, typically 15 minutes	124	96	$261.52	$101.62
90662 Influenza vaccine split virus, preservative free	119	119	$154.79	$68.51
82270 Stool analysis for blood to screen for colon tumors	106	106	$25.00	$4.33
G0009 Administration of pneumococcal vaccine	82	80	$115.61	$34.03
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	77	76	$270.00	$266.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$200.00	$59.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$506.15	$200.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$450.00	$185.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	209	$332.46	$145.17
99213 Established patient office or other outpatient visit, typically 15 minutes	197	128	$232.06	$102.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$310.00	$148.81
G0008 Administration of influenza virus vaccine	145	145	$110.00	$19.53
90662 Influenza vaccine split virus, preservative free	144	144	$130.00	$65.23
82270 Stool analysis for blood to screen for colon tumors	88	88	$25.00	$4.38
93000 Routine ekg using at least 12 leads including interpretation and report	66	64	$75.00	$16.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	20	$200.00	$59.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$436.50	$202.68
0011A Adm sarscov2 100mcg/0.5ml1st	17	16	$25.88	$19.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$450.00	$188.14
0012A Adm sarscov2 100mcg/0.5ml2nd	15	15	$35.00	$32.24
69210 Removal of impacted ear wax	11	11	$150.00	$53.94
G0009 Administration of pneumococcal vaccine	11	11	$150.00	$19.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	393	178	$310.00	$120.83
99213 Established patient office or other outpatient visit, typically 15 minutes	272	151	$215.00	$84.01
93000 Routine ekg using at least 12 leads including interpretation and report	179	162	$75.00	$19.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$310.00	$130.26
G0008 Administration of influenza virus vaccine	149	148	$109.87	$19.03
90662 Influenza vaccine split virus, preservative free	145	144	$129.97	$60.94
82270 Stool analysis for blood to screen for colon tumors	84	84	$25.00	$4.31
99442 Telephone medical discussion with physician, 11-20 minutes	43	38	$215.00	$83.98
G0009 Administration of pneumococcal vaccine	26	26	$124.62	$18.87
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$261.20	$116.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	18	$414.09	$159.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$200.00	$60.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$450.00	$185.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	415	189	$309.36	$119.97
93000 Routine ekg using at least 12 leads including interpretation and report	188	166	$75.00	$19.15
99213 Established patient office or other outpatient visit, typically 15 minutes	183	115	$215.00	$82.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$310.00	$127.72
G0008 Administration of influenza virus vaccine	145	142	$89.72	$18.65
90662 Influenza vaccine split virus, preservative free	139	137	$124.03	$54.83
82270 Stool analysis for blood to screen for colon tumors	82	82	$25.00	$4.29
G0009 Administration of pneumococcal vaccine	31	31	$88.71	$18.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$246.67	$110.29
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$450.00	$182.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	376	185	$303.67	$119.04
99213 Established patient office or other outpatient visit, typically 15 minutes	237	133	$215.00	$80.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	169	$310.00	$129.54
G0008 Administration of influenza virus vaccine	153	150	$80.00	$23.21
90662 Influenza vaccine split virus, preservative free	147	144	$80.00	$52.21
93000 Routine ekg using at least 12 leads including interpretation and report	123	115	$75.00	$19.11
82270 Stool analysis for blood to screen for colon tumors	65	65	$25.00	$4.29
G0009 Administration of pneumococcal vaccine	52	52	$80.00	$23.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	50	50	$220.00	$105.59
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$450.00	$183.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$200.00	$59.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	185	$295.79	$116.65
99213 Established patient office or other outpatient visit, typically 15 minutes	210	125	$208.00	$79.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$310.00	$126.21
G0008 Administration of influenza virus vaccine	164	163	$80.00	$28.66
90662 Influenza vaccine split virus, preservative free	159	158	$80.00	$47.97
G0009 Administration of pneumococcal vaccine	79	79	$80.00	$28.66
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	64	64	$219.06	$96.60
82270 Stool analysis for blood to screen for colon tumors	50	50	$25.00	$4.37
93000 Routine ekg using at least 12 leads including interpretation and report	43	36	$75.00	$18.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	12	$200.00	$58.81
90670 Pneumococcal vaccine for injection into muscle	14	14	$230.00	$184.74

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 74822

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Legacy #

CX8007 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Svetlin Dinovski , MD

Internal Medicine

NPI 1093027062

Doctor of Medicine (M.D.)

David Polman

Internal Medicine

NPI 1093393274

Dr. Eric Serrano , MD

Internal Medicine

NPI 1295803146

Doctor of Medicine (M.D.)

Dr. William Holgerson , MD

Internal Medicine

NPI 1356445829

Doctor of Medicine (M.D.)

Dr. Kathryn Deanzeris , MD

Internal Medicine

NPI 1922056035

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2016

Registered at 40 WALNUT STREET, SUITE201, WELLESLEY, MA 024812102 (Tel: 7812351224)

📍

Updated Business Mailing Address January 19, 2016

Registered at 40 WALNUT STREET, SUITE 201, WELLESLEY, MA 024812102 (Tel: 7812351224)

👤

Provider Name / Credentials Updated January 19, 2016

Recorded as EDWARD LEGARE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2016

Internal Medicine (License #74822 in MA)

🟢

Initial NPI Registration & Enumeration July 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528084191

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 15, 2006

Last Update: June 26, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

40 Walnut Street, Suite 201

Wellesley, MA 024812102

Phone: 7812351224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.