Physician

Stephen Legg, M.D.

According to 2025 Medicare claims, Stephen Legg, M.D. (NPI: 1063949725) practices urology in the Harrisonburg, VA market, with the plurality of this provider's patient population coming from Rockingham, VA. This provider's primary affiliated billing organization is BLUE RIDGE UROLOGICAL, PC (NPI: 1528394228; TIN: 271051525) and primary practice location at 22801-8679. Legg is affiliated with the Augusta Care Partners, LLC (ACO ID: A2266) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Legg's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 918 traditional Medicare patients, billed 6,170 HCPCS/CPT codes, and received $380,697 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 2,741 prescription claims across 694 beneficiaries totaling $206,757 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 46 claims. Open Payments data shows 66 records totaling $2,079. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $4,229 to $206,757. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	415	1,411	$85,858
2023	960	4,447	$301,460
2024	918	6,170	$380,697

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	13	21	$4,229
2018	20	43	$4,133
2019	61	99	$4,254
2020	88	189	$7,304
2021	45	89	$6,575
2022	184	317	$20,239
2023	571	1,826	$114,893
2024	694	2,741	$206,757

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	33	$29,504
2024	14	46	$77,328

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
52000	Diagnostic exam of bladder and urethra using an endoscope	222	264	$171
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	770	1,568	$87
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	318	391	$12
51798	Ultrasound measurement of bladder capacity after voiding	300	468	$8
81003	Automated urinalysis test	494	922	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	60	4,200	$62,422
Gemtesa	Vibegron	40	2,880	$47,025
Orgovyx	Relugolix	12	360	$33,478
Tamsulosin Hcl	Tamsulosin Hcl	920	73,889	$13,490
Oxybutynin Chloride Er	Oxybutynin Chloride	131	9,737	$4,548

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	14	29	$69,231
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	17	$8,097

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	66	$2,079	Teleflex LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Stephen Legg, M.D.?

Tedicare shows public-source Medicare data for Stephen Legg, M.D. (NPI 1063949725), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Stephen Legg, M.D. have ACO affiliation data?

Stephen Legg, M.D. is shown with ACO affiliation data for Augusta Care Partners, LLC (MSSP, ACO ID A2266) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Stephen Legg, M.D.?

Stephen Legg, M.D. is linked to BLUE RIDGE UROLOGICAL, PC (billing NPI 1528394228) in the available physician profile data.

Does Stephen Legg, M.D. have Open Payments data?

Stephen Legg, M.D. has 66 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.